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Solaris Healthcare Merritt Island

500 Crockett Blvd, Merritt Island, FL 32954 · Non profit - Corporation · 180 certified beds · (321) 454-4035 Medicare & Medicaid certified

Call the home — (321) 454-4035 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Aug 2024
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (22) — 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 independent health-inspection rating is low (2/5)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
535 Crockett Blvd · (321) 454-2363 · Call to confirm hours
Pharmacy
250 Crockett Blvd · (321) 452-1691 · Call to confirm hours
Grocery
Publix0.4 mi
1850 N Courtenay Pkwy · (321) 986-6260 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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 5 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 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.0%8.7%15.4%better
Long-stay residents who lose too much weight2.5%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms4.3%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.1%2.5%3.3%typical
Long-stay residents whose ability to walk worsened14.7%9.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication8.9%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers3.5%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control14.0%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 table7.3%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.1%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%94.7%79.4%better
Short-stay residents rehospitalized after admission22.5%26.1%22.6%typical
Short-stay residents with an outpatient ER visit14.1%9.1%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.102.131.67better
Long-stay outpatient ER visits per 1,000 resident days0.711.151.80better

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.

68.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 489 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

68.0%U.S. median 51.5%
Got home and stayed home
13.3%U.S. median 10.7%
Went back to hospital
54.6%U.S. median 56.6%
Met the expected recovery
0.45U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 54.6% 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 315 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 0.45 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 61% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF68.0%CMS range 63.7–72.451.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.3%CMS range 10.9–15.310.7%Oct 2022–Sep 2024worse than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge54.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge45.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge42.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting99.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.4%CMS range 4.7–9.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.131.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.55
RN hours/ resident / day
0.92
LPN hours/ resident / day
2.18
Aide hours/ resident / day
3.65
Total nurse hours/ resident / day
0.42
RN hoursweekends
38.8%
Total nursing turnover
46.2%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 172.1 residents a day — about 96% occupied, or roughly 8 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.545 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.32 hrs/resident/day on weekends vs 3.78 on weekdays — 12% thinner on weekends. RN hours go from 0.60 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% 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

11
deficiencies at the latest standard inspection (2024-08-22)
10
at the previous standard inspection (2022-11-03)

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

ABCDEFGHIJKL

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

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

  • Potential for harm · E2024-08-22 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to secure one (1) treatment cart to prevent unauthorized access and promote resident safety, (Riverside), and failed to properly store medications and bottles of liquids in four (4) medication carts and one (1) treatment cart, (Bayside, Oceanside, and Riverside), for 6 of 8 carts inspected during the Medication Storage task, of a total of 14 medication/treatment carts. Findings: 1. On 8/19/24 at 10:15 AM, the 300 hallway treatment cart was observed between rooms [ROOM NUMBERS], on the Riverside Unit. The drawers faced the hallway and the lock protruded from the cart to indicate it was unlocked. All drawers opened smoothly and the contents of each drawer were easily accessible. On 8/19/24 at 10:18 AM, Licensed Practical Nurse (LPN) F verified the treatment cart was unlocked, which allowed all drawers to be opened. She looked to the left of the cart and confirmed there was at least one confused resident in the hallway by the cart. She…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-22 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure food items were stored in a manner to prevent contamination by keeping them sealed, dated and discarded before their expiration date. This failure had the potential to negatively effect 158 of 158 residents who consumed food items by mouth. Findings: 1. On 8/19/24 at 10:20 AM, during the initial kitchen inspection with the Certified Dietary Manager (CDM), the walk-in freezer was observed to contain multiple cardboard shipping boxes in which the interior bag holding food items was unsealed, leaving the food items open to the air. These unsealed and undated items were beef patties, Rib type-meat, Plant-Based Chick-N-Strips, eggs, and pancakes. A box of popsicles was observed with a large build-up of ice encasing approximately half the popsicles in the box. In the walk-In refrigerator, there was a half-pan of cooked rice dated 8/14. The CDM confirmed the date on the half-pan of rice and stated their policy was to discard prepared food after three days, and discarded the rice. A package with approximately 8-10 sausage…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-22 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
    Have a plan that describes the process for conducting QAPI and QAA activities.
    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 Quality Assurance and Performance Improvement (QAPI) committee developed and implemented timely and appropriate plans of action to prevent repeat deficient practices related to Activities of Daily Living (ADLs) for Dependent Residents and Activities to Meet Resident Interest or Needs. Findings: Review of the facility's survey history revealed repeat deficiency concerns for ADL care and activities during the past 5 years, and again during current survey. The concerns for ADL care specifically nail care and activities to meet the residents' interests and needs to attain their highest practicable well-being would reflect the third time in five years deficiencies were cited for these areas of concern. On 8/22/24 at 4:00 PM, the Administrator and Risk Manager spoke about the facility's QAPI program. The Administrator verified they completed a plan of correction for ADLs and activities last year and did not currently have any Performance Improvement Plans (PIPs), or other audits for the areas of concern…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility staff failed to treat residents with dignity and respect as evidenced by addressing them as, feeders, and not allowing a resident's choice to ambulate freely while waiting for meals, for 4 of 17 residents on the locked memory care unit, (#104, #94, #122 and #61). Findings: 1. On 8/20/24 at 11:16 AM, Certified Nursing Assistant (CNA) K was overheard to question, [Activity Personnel M's name], are you going to feed [resident #104]? Activity Personnel M replied, Sure, who do you want me to feed? CNA K answered, Resident 104. Then CNA K repeated, Resident 104 is a feeder. A short time later, CNA K was asked whether it was appropriate for staff to call residents, Feeders, while speaking about the residents. CNA K replied, I said that? I didn't even realize I said it. She then stated she was aware it was a dignity issue to identify residents using that term. 2. On 8/20/24 at approximately 11:30 AM, Activity Personnel M repeatedly called out resident #94's last name when the resident was starting to leave the lunch area.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 implement its abuse prohibition policy and procedures related to an allegation of mistreatment by 1 of 2 residents reviewed for abuse, of a total sample of 51 residents, (#146). Findings: Review of the medical record revealed resident #146, an [AGE] year-old female, was admitted to the facility on [DATE]. Her diagnoses included metabolic encephalopathy or a brain disorder, and adult failure to thrive. Review of the Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 7/12/24 revealed resident #146 had clear speech and was usually able to express her ideas and wants. The resident's Brief Interview for Mental Status score was 15/15 which indicated she was cognitively intact. The MDS assessment revealed during the 14-day lookback period, resident #146 showed no evidence of acute onset mental status change. She exhibited no behavioral symptoms and did not reject evaluation or care that was necessary to achieve her goals for health…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement the comprehensive care plan related to interventions to prevent falls and injuries for 1 of 5 residents reviewed for accidents, of a total sample of 51 residents, (#51). Findings: Review of the medical record revealed resident #51, a [AGE] year-old female, was admitted to the facility on [DATE]. Her diagnoses included syncope and collapse, dementia, anemia, vertigo, anxiety, and stroke. The Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 6/13/24 revealed resident #51 had a Brief Interview for Mental Status score of 6 which indicated she had severe cognitive impairment. The document revealed the resident exhibited fluctuating inattention and disorganized thinking that varied in severity. The MDS assessment indicated the resident displayed no behavioral symptoms and did not reject evaluation or care that was necessary to achieve the resident's goals for health and well-being. Resident #51 had…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide adequate activities of daily living (ADL) care related to personal hygiene for 1 of 1 resident reviewed for ADLs, of a total sample of 51 residents, (#146). Findings: Review of the medical record revealed resident #146, an [AGE] year-old female, was admitted to the facility on [DATE]. Her diagnoses included metabolic encephalopathy or a brain disorder, and adult failure to thrive. Review of the Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 7/12/24 revealed resident #146 had clear speech and was usually able to express her ideas and wants. The resident's Brief Interview for Mental Status score was 15/15 which indicated she was cognitively intact. The MDS assessment revealed during the 14-day lookback period, resident #146 showed no evidence of acute onset mental status change. She exhibited no behavioral symptoms and did not reject evaluation or care that was necessary to achieve her goals for health…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure an individualized activities program was provided for 1 of 2 residents reviewed for Activities, of a total sample of 51 residents, (#156). Findings: Review of the medical record revealed resident #156, an [AGE] year old female was admitted to the facility on [DATE] with diagnoses of left hip fracture, difficulty in walking, cognitive communication deficit, psychotic disturbance, dementia, Alzheimer's Disease, mood disorder, depression, and anxiety. The Minimum Data Set (MDS) Modified admission assessment with an Assessment Reference Date (ARD) of 7/14/24 identified during the look back periods, resident #156 often required help with reading. The Brief Interview for Mental Status score of 3 out of 15 indicated the resident was severely cognitively impaired. The assessment showed she had inattention that fluctuated, and she often felt lonely or isolated from those around her. No behaviors or rejections of evaluation or care were…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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 Based on observation, interview, and record review, the facility failed to ensure oxygen was administered as ordered by the physician, in accordance with professional standards, for 2 of 3 residents reviewed for respiratory care, of a total sample of 51 residents, (#57 and #77). Findings: 1. Review of the medical record revealed resident #57, a [AGE] year-old female, was admitted to the facility on [DATE]. Her diagnoses included hypertensive heart disease with heart failure, history of COVID-19, and cardiomegaly or an enlarged heart. Resident #57 had a terminal condition, end-stage heart disease, with a projected life expectancy of six months or less. The Minimum Data Set (MDS) Annual assessment with assessment reference date (ARD) of 7/08/24 revealed the resident's Brief Interview for Mental Status (BIMS) score was 12 which indicated the resident had moderate cognitive impairment. The MDS assessment indicated resident #57 displayed no behavioral symptoms and did not reject evaluation or care that was necessary…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to administer medications according to physician orders to prevent medication errors for 2 of 5 residents reviewed during the Medication Administration task, of a total sample of 51 residents, (#33 & #62). There were 4 errors in 29 opportunities for a medication error rate of 13%. Findings: 1. Review of the medical record revealed resident #33, a [AGE] year-old male, was admitted to the facility on [DATE]. His diagnoses included unspecified pain and constipation. Resident #33 had a care plan for risk of developing pain related to a thigh wound, acid reflux, and a potential for abnormal bowel pattern, initiated on 7/03/23. The goal was the resident would experience pain reduction or relief. The care plan approaches instructed nurses to administer pain medications according to the physician's order. Review of the Physician Order Report revealed resident #33 had an order dated 3/13/24 for Colace 100 milligrams (mg) twice daily for constipation,…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · Dcited before2024-08-22 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain proper infection control practices during distribution of lunch trays and set up of lunch meals on 1 of 2 hallways, (400 hallway), on 1 of 4 units, (Riverside Unit). Findings: On 8/19/24 at 11:47 AM, Certified Nursing Assistant (CNA) J distributed lunch trays on the 400 hallway. Without performing hand hygiene, she removed a tray from the meal cart, entered room [ROOM NUMBER], and placed it on a table. CNA J touched the table, removed lids from containers, and then exited the room without using hand sanitizer. CNA J returned to the meal cart, retrieved another tray, and entered room [ROOM NUMBER]. She placed the tray on the table beside bed A, uncovered food items, and set up the meal. During the process, she touched the table and the back of the resident's chair. CNA J did not perform hand hygiene prior to exiting the room and she returned to the meal cart to continue distributing lunch trays. Next, she retrieved a tray 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-11-03 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure nail care was provided for 3 of 6 dependent residents, (#1, #4, #119) and failed to ensure facial hair was removed for 1 of 6 dependent residents, (#479) reviewed for Activities of Daily Living (ADL) out of a total sample of 62 residents. Findings: 1. Review of resident #1's medical record documented she was admitted to the facility on [DATE] with diagnoses including dementia with behavioral disturbances, anxiety disorder, Transient Ischemic Attack (TIA) and major depression. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] documented resident #1 had short-term and long-term memory problems, severely impaired cognitive skills for daily decision making and she required total assistance of one staff member with personal hygiene and bathing. Review of resident #1's comprehensive ADL care plan dated 12/09/19 documented she required total assistance from staff with ADLs. On 11/01/22 at 10:05 AM, and on 11/02/22 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-11-03 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide an ongoing program of activities to meet the preferences and needs for 6 of 12 residents reviewed for activities of a total sample of 62 residents, (#10,#21,#51,#118,#137,#139). Findings: 1. Resident #10 was admitted to the facility on [DATE] with diagnoses of dementia, brief psychotic disorder, and memory loss. Review of the resident's Minimum Data Set (MDS) quarterly assessment with Assessment Reference Date (ARD) 7/13/22, revealed the resident had a Brief Interview for Mental Status (BIMS) score of rarely or never understood which indicated she had severe cognitive impairment. The assessment indicated it was somewhat important for the resident to listen to music, do her favorite activities, and go outside to get fresh air. Resident#10 required extensive assistance of two persons for transfers and total assist of one person for locomotion. Review of resident #10's Activity care plan included interventions to adapt activities of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-11-03 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow physician orders for splint application for 2 of 2 residents reviewed for limited Range Of Motion (ROM) of a total sample of 62 residents, (#117, #143). Findings: 1. Record review of resident #117's clinical records revealed the resident was a [AGE] year-old female, admitted to the facility on [DATE], with a recent readmission on [DATE]. Her diagnoses included hemiplegia and hemiparesis following cerebral infraction affecting right dominant side, major depressive disorder, and stiffness of unspecified joint. An active physician's order dated 9/23/22 noted right resting hand splint to be donned and doffed daily as needed. Special instructions read Clarify duration and frequency when entering order. Review of the resident's quarterly Minimum Data Set (MDS) assessment with Assessment Reference Date of 10/11/22 indicated the resident was rarely/never understood and required extensive assistance with bed mobility, transfers, dressing,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-11-03 · tag F0825 — pattern
    Provide or get specialized rehabilitative services as required for a resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to provide Occupational Therapy as needed to address splint application and assessments for 3 of 3 residents reviewed for limited Range Of Motion (ROM) of a total sample of 62 residents, (#117, #143, #175). Findings: 1. Clinical record review revealed resident #117 was a [AGE] year-old female, admitted to the facility on [DATE], with a recent readmission on [DATE]. Her diagnoses included hemiplegia and hemiparesis following cerebral infraction affecting right dominant side, major depressive disorder, and stiffness of unspecified joint. An active physician order dated 9/23/22 read right resting hand splint to be donned and doffed daily as needed. Special instructions read Clarify duration and frequency when entering order. On 11/02/22 at 10:48 AM, the Director of Rehab stated resident #117 had a stroke and had right hand splint provided by therapy to prevent contractures. She verbalized the resident was previously on Occupational Therapy (OT) caseload…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-03 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to complete Minimum Data Set (MDS) assessments within required timeframes for 3 of 4 residents reviewed for MDS comprehensive assessments from a total sample of 62 residents, (#60, #123, #154). Findings: Resident #60 was admitted to the facility on [DATE] with diagnoses of hypertension, hyperlipidemia, thyroid disorder, and stroke. A review of the MDS annual comprehensive assessment dated 9/17//22 revealed the assessment's final completion was dated 11/2/2022. On 11/2/2022 at 10:10 AM, the Registered Nurse (RN) MDS Coordinator stated the annual comprehensive MDS must be completed within 14 days after the assessment reference date (ARD), or 10/5/2022. She verified the MDS assessment was in progress and was not completed timely. Resident #123 was admitted to the facility on [DATE] with diagnoses including dementia, aphasia, and schizophrenia. A review of the MDS annual comprehensive assessment dated [DATE] revealed the assessment completion date was…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-03 · tag F0640 — isolated
    Encode 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 electronically transmit Minimum Data Set (MDS) assessments timely for 2 of 4 residents reviewed for MDS assessments, from a total sample of 62 residents, (#105, #123). Findings: Resident #105 was admitted to the facility on [DATE]. A review of the resident's medical record revealed the MDS comprehensive annual assessment dated [DATE] had not been transmitted. On 11/2/2022 at 10:10 AM, the Registered Nurse (RN) MDS Coordinator reviewed the resident's medical record and stated the assessment dated [DATE] was not transmitted timely. Resident #123 was admitted to the facility on [DATE]. On 11/2/2022 at 10:10 AM the RN MDS Coordinator reviewed the resident's medical record and stated the assessment dated [DATE] had not been transmitted. She validated the assessment should have been transmitted 14 days after completion. The facility's Nursing Services Policy and Procedure Manual revised 1/13/2021, page 3 titled, MDS Completion and Submission Timeframes item…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-03 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to accurately complete the Minimum Data Set (MDS) assessment for life expectancy for 1 of 5 residents reviewed for unnecessary medications, (#81) and failed to accurately reflect the discharge status for 1 of 3 residents reviewed for discharges, (#176), of a total sample of 62 residents. Findings: 1. Review of resident #81's medical record revealed she was 98-years-old, admitted to the facility on [DATE] with a recent readmission of 10/04/22. Her diagnoses included chronic kidney disease stage 4, schizoaffective disorder, dementia, and history of malignant neoplasm of skin. Review of the resident's physician orders revealed an order dated 8/22/22 that read, Terminal condition cerebral atherosclerosis. Given the information available, and per my examination, the patient has a life expectancy of 6 months or less. The resident's care plan for terminal/end stage diagnosis of cerebral atherosclerosis was created on 8/22/22. Review of the resident's admission…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-03 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to develop a comprehensive care plan for activities within seven days after completion of the comprehensive assessment for 1 of 12 residents reviewed for activities, of a total sample of 62 residents, (#81) . Findings: Review of resident #81's medical record revealed she was admitted to the facility on [DATE] with a recent readmission of 10/04/22. Her diagnoses included chronic kidney disease, stage 4, schizoaffective disorder, dementia, and history of malignant neoplasm of skin. Review of the resident's admission Minimum Data Set (MDS) assessment, with Assessment Reference Date (ARD) of 8/26/22 revealed the resident's cognition was impaired with a Brief Interview Of Mental Status (BIMS) score of 08/15. Section F Preferences for customary routine and activities revealed it was very important for the resident to have books/listen to music/do things with groups of people/ go outside to get fresh air when the weather was good and participate in religious…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-03 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide 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 consistently provide nutritional supplements ordered for a newly admitted resident diagnosed with moderate protein malnutrition for 1 of 1 resident reviewed for nutritional status in a total sample of 62 residents, (#479). Findings: Resident #479 was admitted to the facility from the hospital 10/25/22. His admission diagnoses included moderate protein-calorie malnutrition, stage IV lung cancer, shortness of breath, multiple sclerosis, and major depressive disorder. On 10/31/22 at 10:57 AM, resident #479 verbalized he did not receive the nutritional protein supplemental drink, Ensure that he was promised by the dietician when admitted to the facility. The resident indicated he had specifically requested the Ensure brand because it tasted better and he would drink it. He explained he needed the extra protein and calories because of his cancer diagnosis. The resident verbalized he had asked to receive the Ensure between meals and before…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-03 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement appropriate transmission-based precautions (TBP) for Extended Spectrum Beta-Lactamase (ESBL) for 1 of 2 residents (#115) reviewed for Urinary Track Infection (UTI) and failed to ensure an indwelling urinary catheter drainage bag was not placed on the floor to prevent infection for 1 of 2 residents reviewed for indwelling urinary catheter (#130) out of a total sample of 62 residents. Findings: 1. Review of resident #115's medical record revealed she was admitted to the facility on [DATE] with diagnoses including Cerebral Vascular Accident (CVA), Urinary Tract Infection (UTI), neuromuscular dysfunction of bladder and chronic kidney disease. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] documented she had moderate cognitive impairment, required total assistance with toileting and was always incontinent of bladder. Review of resident #115's plan of care dated 10/28/22 showed she had an active urine infection.…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-02-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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 Based on observation, interview and record review, the facility failed to ensure oxygen concentrator external filters were clean for 4 of 4 residents reviewed for respiratory care out of 30 residents receiving oxygen via concentrators, (#4, #23, #25, #43). Findings: 1. Review of resident #4's medical record revealed she was admitted to the facility on [DATE] with multiple sclerosis (MS), chronic obstructive pulmonary disease (COPD), and cognitive communication deficit. The resident's quarterly Minimum Data Set assessment dated [DATE], noted she was cognitively intact and received oxygen therapy. A care plan for being at risk for impaired gas exchange related to COPD and MS included goal that she would have adequate air exchange and interventions for duo-nebulizer treatments, chest percussion vest, monitor lung sounds, rest periods and respiratory therapy as needed. The resident's physician orders included Oxygen at 2 liters/minute (LPM) via nasal cannula (NC) as needed. On 02/09/21 at 10:20 AM, resident #4…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SOLARIS HEALTHCARE — 22 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 54.0-1.0 vs chain
Health inspection 2 of 53.5-1.5 vs chain
Staffing 3 of 53.8-0.8 vs chain
Quality measures 5 of 54.5+0.5 vs chain
The other 21 homes this chain runs (chain average 4.0★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
MERRITT ISLAND HEALTHCARE HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 10/20/2015
SOLARIS FOUNDATION INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/06/2015
SOLARIS HEALTHCARE PROPERTIES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/06/2015
CORLEY, SHAWNIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2022
BELL, THOMASIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNFsince 01/01/2016
BERKOWITZ, MICHAELIndividualCORPORATE DIRECTORsince 06/01/2022
BUXBAUM, MIRIAMIndividualCORPORATE DIRECTORsince 06/01/2022
HERZKA, CHAIMIndividualCORPORATE DIRECTORsince 06/01/2022
LUNSFORD, CHARISHIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 06/01/2018
MAYER, KARENIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/28/2025
OBERLANDER, JOSEPHIndividualCORPORATE DIRECTORsince 06/01/2022
WILKINS, STACEYIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2025
PARKER, LAURIEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/07/2025
PARKER, SHELBYIndividualADP OF THE SNFsince 10/01/2016
RABINOWITZ, JOSEPHIndividualADP OF THE SNFsince 06/08/2026

CMS files one row per role, so the 27 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$21.8M
Net patient revenuemost recent cost report
-0.2%
Operating marginrevenue minus expenses
$2.6M
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 47%Medicare 19%Other / private 34%

This home reported $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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

$346per resident / day
operating cost
$10,530per month
≈ monthly operating cost
$346per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105701. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-22, 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.

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