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Miami Springs Nursing And Rehabilitation Center

201 Curtiss Pkwy, Miami Springs, FL 33166 · For profit - Limited Liability company · 269 certified beds · (305) 887-1565 Medicare & Medicaid certified

Call the home — (305) 887-1565 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 24 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (33% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 33% 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.

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

Location & what’s nearby

Hospital
Urgent care / clinic
230 Park St · (305) 888-2607 · Call to confirm hours
Pharmacy
69 Curtiss Pkwy · (305) 885-7790 · Call to confirm hours
Grocery
80 Curtiss Pkwy · (305) 887-4434 · Call to confirm hours
Park
Circle Pharmacy, 69 Curtiss Pkwy · (305) 885-7790 · 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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

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 increased5.9%8.7%15.4%better
Long-stay residents who lose too much weight8.9%5.5%5.4%worse
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 symptoms0.0%4.6%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.8%2.5%3.3%better
Long-stay residents whose ability to walk worsened2.3%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication33.5%14.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers4.0%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control1.0%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table22.5%8.6%17.1%worse
Short-stay residents who newly got an antipsychotic medication6.0%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine100.0%94.7%79.4%better
Short-stay residents rehospitalized after admission30.2%26.1%22.6%worse
Short-stay residents with an outpatient ER visit0.9%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.452.131.67worse
Long-stay outpatient ER visits per 1,000 resident days0.331.151.80better

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

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

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

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

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

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

27.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 66 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

27.1%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
68.6%U.S. median 56.6%
Met the expected recovery
0.55U.S. median 0.31
Therapy hours / resident / day
0.23hours / resident / day
Physical therapy
0.23hours / resident / day
Occupational therapy
0.09hours / resident / day
Speech therapy

Met the expected recovery: 68.6% 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 156 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 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 51% 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 SNF27.1%CMS range 18.7–43.151.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 6.9–14.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge68.6%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 discharge54.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge44.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%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 stay0.8%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 worsened1.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.8%CMS range 6.4–14.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.701.02Oct 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

1.16
RN hours/ resident / day
0.28
LPN hours/ resident / day
2.23
Aide hours/ resident / day
3.67
Total nurse hours/ resident / day
0.96
RN hoursweekends
33.3%
Total nursing turnover
32.1%
RN turnover

How full it usually is: this home is certified for 269 beds and averages 185.4 residents a day — about 69% occupied, or roughly 84 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.16 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.33 hrs/resident/day on weekends vs 3.81 on weekdays — 13% thinner on weekends. RN hours go from 1.24 to 0.96 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

7
deficiencies at the latest standard inspection (2025-05-08)
9
at the previous standard inspection (2023-12-14)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

  • Potential for harm · E2025-05-08 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews and interviews, the facility failed to ensure all residents on the facility's Two South unit were always accommodated with working telephones, as evidenced by two observations of several telephones on the Two South Unit not having any dial tones. There were 185 residents residing at the facility at the time of the survey. The findings included: During a family interview via telephone on 05/06/25 at 10:30 A, Resident #5's daughter revealed the telephone in her father's room has not been working for months; and wished she could call and talk to him more. During observation on 05/07/25 at 10:40 AM Resident #5 was observed lying in bed watching television, the telephone was observed on the side of resident. Further inspection of Resident #5's telephone revealed the telephone does not have a dial tone and did not work. Observation and inspection of 10 residents' telephones on the Two South Unit, One South and One North Unit, telephones were sampled. 4 out of the 10 residents whose…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-08 · 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, interview and record review, the facility failed to 1) store food under sanitary condition as evidence by failure in ensuring the 1 North Station Pantry snack/nourishment freezer on the resident unit contained a thermometer on the inside and 2) failed to ensure the correct wash temperature for washing of the dishes and utensils by not having the correct wash temperature for the operable wash tank temperature gauge on the high temperature dish machine. The missing thermometer has the potential to affect 176 out of 185 residents who eat orally residing in the facility at the time of the survey and potential to affect 42 out of 44 residents who eat orally residing on the 1 North Wing. The incorrect/improper wash temperature for the operable dish machine has the potential to affect 176 out of 185 residents who eat orally residing in the facility at the time of the survey. The findings included: 1) Record review of the Refrigerator/Freezer/Dishwasher Logs Policy and Procedure (revision date February 2024); Policy Statement-The temperature of the refrigerators 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-08 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, records reviewed and interviews, the facility failed to demonstrate effective plans of actions implemented to correct identified quality deficiencies in problem areas, as evidenced by repeated deficient practices for F 641- Accuracy of Assessments, F812 Food Procurement Store/Prepare/Serve/Sanitary and F867- Quality Assurance and Performance Improvement (QAPI)/ Quality Assessment and Assurance (QAA). These repeated deficient practices have the potential to affect all residents residing in the facility. The findings included: Review of the facility's survey history revealed during a recertification survey with exit dated 12/14/2023, F812 was cited-Food Procurement Store/Prepare/Serve/Sanitary; due to the facility's failure to store food under sanitary conditions related improper temperatures in the reach-in cooler and failure to ensure the reach-in cooler was working properly; 2)The facility was Cited F641-Accuracy of Assessments related to the facility's failure to accurately code the Minimum Data Set (MDS) and 3) F867 Quality Assurance and Performance…

    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 · Ecited before2025-05-08 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review the facility failed to ensure the high temperature dish machine wash cycle was working properly. This has the potential to affect 176 out of 185 residents who eat orally residing in the facility at the time of the survey. The findings included: Record review of the Refrigerator/Freezer/Dishwasher Logs Policy and Procedure (revision date February 2024); Policy Statement-The temperature of the refrigerators and freezers will be recorded twice a day. Temperatures found not to be at the designated level will be reported to the Director of Nutritional Services or supervisor immediately. Temperatures will be recorded on a log; Procedure: 2) Dishwasher, a) While the dishwasher is running, with a rack going through it, the temperature of the wash tank and rinse tank will be recorded. Temperatures will be recorded for each meal, b) The Wash tank should be 140-160 degrees Fahrenheit (F), or as specified by the manufacturer and d) Any temperatures recorded outside the acceptable levels shall be reported to the supervisor immediately.…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-08 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, records reviewed and interviews, the facility failed to ensure privacy of confidential information on one (2 North) out of two Nursing Stations on the facility's 2nd floor, as evidenced by observation of an unattended unlocked computer screen with residents' information visible. 2) Failed to provide privacy during medication administration for one (Resident # 152) out of five residents observed during medication administration. There were 185 residents residing in the facility at the time of the survey. The findings included: 1) On 05/05/2025 at 11:49 AM, observation on the 2nd floor of North Nursing Station revealed an unattended unlocked computer screen with visible resident formation. (Photographic evidence). On 05/05/2025 at 11:53 AM, Staff E, Registered Nurse (RN) was notified of the unattended unlocked computer screen. Staff E, RN revealed the supervisor was currently logged in and stated: I will notify the supervisor. On 05/05/2025 at approximately 11:57 AM, Staff G, RN Supervisor was asked about the facility's protocol related to protecting 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-08 · 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 observation, record review and interview, the facility failed to accurately code the Minimum Data Set (MDS) for one (Resident # 184) out of three sampled residents; as evidenced by the resident was discharged to an Assisted Living Facility, and the MDS was coded to indicate that the resident was discharged to a Short-Term General Hospital. The findings included. Review of Resident # 184's clinical records revealed the resident was admitted to the facility on [DATE] from a Short-Term General Hospital (acute hospital). Medical diagnosis includes Traumatic Subdural Hemorrhage without loss of consciousness, subsequent encounter and Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing. Review of the Physician's Discharge summary dated [DATE] documented: The patient will be discharged to [facility name] Assisted Living Facility (ALF) on 4/16/2025. Review of Social Services Note dated 04/17/2025, documented: Resident was discharged to [facility name]…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-08 · 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, record review, and interviews, the facility failed to implement fall risk and seizure care plans for three residents (Resident #106, Resident # 88 and Resident #56) out of three sampled residents; as evidenced by observations of missing padding on one side rail for Resident #106, Resident #88, and Resident # 56. There were 36 residents with orders for padded side rails at the time of this survey. The findings included: Resident # 88: On 05/05/25 at 9:58 AM, Resident #88 was observed in bed the left side rail was in the upward position and padded. The right-side rail was in the down position. Two staff members were in the room tending to other residents. On 05/08/2025 at 12:37 PM Staff E, Registered Nurse (RN) was informed about the padding that was not on side rail. Staff E, RN acknowledge the concern and stated, I received an in-service yesterday about it. Record review of Resident #88's demographic sheet revealed the resident was admitted on [DATE] with diagnosis that included: Epilepsy.…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-12-14 · 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 observations, interviews and record review, the facility failed to 1) store food under sanitary condition by ensuring the proper temperatures in the reach-in cooler and 2) ensure the reach-in cooler was working properly. This has the potential to affect 169 out of 182 residents who eat orally residing in the facility at the time of the survey. The findings included: Record review of the Refrigerator/Freezer/Dishwasher Logs Policy and Procedure (Issued 9/2018); Policy Statement-The temperatures of the refrigerators and freezers will be recorded twice a day; Procedure-1b) Refrigerators shall be 35-40 degrees Fahrenheit. Observation during the initial kitchen tour on 12/11/23 at 8:16 AM with the Accounts Manager/Food Service Director and the Corporate District Manager revealed, the reach-in cooler temperature was 60 degrees F (Fahrenheit) on the outside and 60 degrees F on the inside. The reach-in cooler contained apple sauce. Observation of the lunch tray line on 12/13/23 at 11:02 AM revealed, food temperatures were being taken and conducted by the Accounts Manager/Food…

    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 · Dcited before2023-12-14 · 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, record review, and interviews, the facility failed to ensure dignity during dining for one (resident #173) out of 45 sampled residents as evidenced by one facility staff was standing while feeding resident #173. The findings included: In an observation on 12/11/23 at 11:27 AM, Staff A, C.N.A. (Certified Nursing Assistant) was standing while assisting Resident #173 with eating lunch. Staff A was spoon-feeding resident #173, a pureed diet and assisting him drinking from a plastic cup with a straw. In an observation on 12/11/23 at 11:32 A.M, Staff A, C.N.A. was observed standing while assisting with feeding for Resident #173. In an observation on 12/11/23 at 11:54 AM, Staff A, C.N.A was observed sitting in a chair while assisting with feeding for Resident #179. In an observation on 12/11/23 at 12:14 PM, Staff A, C.N.A. was observed sitting in a chair while assisting with feeding for Resident #500. On 12/11/23 at 12:20 PM, during an interview with Staff A, C.N.A. and Staff B, R.N. (Registered Nurse) for Spanish translation. When asked, What do you do during dining…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-14 · 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 code the Minimum Data Set (MDS) for one resident (R # 43) out of one sampled residents reviewed for death. Resident #43 expired in the facility and the MDS Section A for Identification Information, Discharge Status did document the resident was deceased . The findings included: Record review of the clinical records for Resident # 43 revealed the resident was admitted to the facility on [DATE] and expired in the facility on [DATE]. Clinical diagnoses included, but were not limited to, Encounter for Palliative Care; Malignant Neoplasm of Colon, Unspecified; Secondary Malignant Neoplasm of Liver and Intrahepatic Bile Duct. Record review of the Significant Change MDS dated [DATE] revealed it was the last MDS completed for resident #43. The MDS Section A for Identification Information, Discharge Status did document the resident was deceased . Record review of Nurses Notes dated [DATE] revealed, the Certified Nursing Assistant called the nurse to…

    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
Show the remaining 14 citations
  • Potential for harm · D2023-12-14 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations and interviews, the facility failed to provide appropriate Services and care related to foley catheter positioning as per facility policy to prevent a potential Urinary Tract Infection (UTI) for one out (Resident #153) out of 11 residents residing in the facility who had indwelling urinary catheters. The findings included: During observation on 12/13/2023 at 08:40 AM, Certified Nursing Assistant (Staff I), pushed resident #153 in a shower chair in the hallway to his room. Resident #153 was covered with a towel; the catheter tubing was observed to be looped under resident #153 causing the collection bag to be above the level of resident's bladder. Registered Nurse (Staff G) was informed and immediately entered the room with the surveyor. Staff G was obsereved to place the collection bag below the level of the residents bladder into pocket of the shower chair. Staff G explained to Staff I that the collection bag should always be below the level of bladder. On 12/13/23 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 · D2023-12-14 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to follow the physician's orders for changing midline (intravenous catheter or IV line) dressing for one (Resident #485) out of 45 sampled residents as evidenced by a midline dressing dated over five days old. The findings included: In an observation on 12/11/23 at 09:48 AM, Resident #435 was in bed with eyes closed with a nasal cannula at two liters per minute. In an observation on 12/12/23 at 09:12 AM, Resident #435 was resting in bed with eyes closed with a nasal cannula at two liters per minute. In an observation on 12/13/23 at 11:12 AM, Resident #435 was resting in bed with eyes closed. It was observed with Staff C, Registered Nurse (RN) that Resident #435's left arm had a midline IV catheter and the dressing was dated 12/08/2023 with no initials. (See photo evidence) Record review of the treatment administration record for December 2023 revealed, a physician order which stated to change midline catheter site dressing every 72 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-14 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations and interviews, the facility failed to ensure proper labeling and disposal of medications as evidenced by one eye drop and one insulin pen past expiration dates on one the East medication cart out of five carts reviewed and two bottles of liquid medication past the expiration date printed on the bottle, in the [NAME] Medication room out of four medication rooms reviewed in facility. This affected 4 out of 45 sampled residents (Resident #8, #11, #21, and #146). The findings included: On 12/13/23 at 02:41 PM, observation of the first floor East Medication cart contained one Brimonidine Sol 0.2% eye drop, with an open date of 10/25/2023 written on the bag for Resident#8 and an additional pharmacy label stuck onto the bag with a different resident's name and different medication name. This cart also contained one opened vial of Insulin Glargine sol 100U/mL(10mL) (Units/milliters) with an open date of 11/1/2023 for resident #21. (see photo evidence). On 12/13/23 at 03:00 PM,…

    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 · D2023-12-14 · tag F0801 — isolated
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review and interview, the facility failed to employ a Director of Food and Nutrition Services with required qualifications that includes two or more years of experience in the position of director of food and nutrition services in a nursing facility setting and has completed a course of study in food safety and management, by no later than October 1, 2023. The findings included: Record review of the Job Description for the Dining Services Director/Account Manager documented: The Dining Services Director/Account Manager manages the dining services program and must hold state and/or federal required credential within no more than three months of placement in Dining Services Director/Account Manager position. Provides leadership, support and guidance to ensure that food quality standards, inventory levels, food safety guidelines and customer service expectations are met. Essential functions of the job is to: Supervises, coordinates and evaluates work of all dining services employees in preparing and serving food and cleaning facilities and utensils in 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-14 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview and record review, the facility failed to demonstrate effective plan of actions were implemented to correct identified quality deficiencies in the problem area related to repeated deficient practices for F550 Resident Rights/Exercise of Rights related to the facility failed to ensure that residents had a dignified existence for Resident # 173 of three residents reviewed for dignity and failed to maintain dignity during dining and F812 Food Procurement Store/Prepare/Serve/Sanitary as evidenced by facility failed to 1) store food under sanitary condition by ensuring the proper temperatures in the reach-in cooler and 2) ensure the reach-in cooler was working properly. This deficiency had the potential to affect 182 residents residing in the facility at the time of survey. The findings included: Record review of the facility's survey history revealed, during a recertification survey with exit dated October 12, 2022. F550 Resident Rights/Exercise of Rights was cited related to the facility failed to ensure that residents had a dignified existence for 2…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-14 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review, the facility failed to ensure the reach-in cooler was working properly. This has the potential to affect 169 out of 182 residents who eat orally residing in the facility at the time of the survey. The findings included: Record review of the Refrigerator/Freezer/Dishwasher Logs Policy and Procedure (Issued 9/2018); Policy Statement-The temperatures of the refrigerators and freezers will be recorded twice a day; Procedure-1b) Refrigerators shall be 35-40 degrees Fahrenheit. Observation during the initial kitchen tour on 12/11/23 at 8:16 AM with the Accounts Manager/Food Service Director and the Corporate District Manager revealed, the reach-in cooler temperature was 60 degrees F (Fahrenheit) on the outside and 60 degrees F on the inside. The reach-in cooler contained apple sauce. Observation of the lunch tray line on 12/13/23 at 11:02 AM revealed, food temperatures were being taken and conducted by the Accounts Manager/Food Service Director. The dessert was Gelatin Cubes and the temperature was 52 degrees F. The desserts 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-10-13 · 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 it was determined that the facility failed to store, prepare, serve food in accordance with professional standards for food service safety. The issues included: failure to protect food from contamination, failure to maintain sanitizing chemical solutions, failure to maintain refrigeration and ice machines, and proper cleaning and maintenance of food preparation equipment. The findings included: 1) During the original food service observation tour conducted in the main kitchen on 10/10/22 at approximately 9:00 AM accompanied with the facility's Food Service Manager (FSD), the following were noted: (a) Upon entrance into the kitchen it was noted that 4 facility staff (Staff P, Q, R, and S) were working within food preparation and food serving areas. Further observation noted that there 4 staff were wearing dangling ear and neck jewelry. Interview with the FSD at the time of the observation revealed that she was not aware that jewelry falling into food is a form of food contamination and requested that the 4 staff remove their jewelry while working in…

    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 · Dcited before2022-10-13 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that residents had a dignified existence for 2 (Resident # 124 and Resident # 21) of 4 residents reviewed for dignity and failed to maintain dignity during dining for 1 (Resident #15) of 4 residents reviewed for dignity. The findings included: The facility's policy for the Subject of Resident Rights, dated 03/01/21, documented, The facility will follow the Resident Rights as follows: The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. A facility must protect and promote the rights of each resident . 1). Resident #124 was admitted to the facility on [DATE] and admitted to Hospice care in the facility on 09/30/22. According to a Significant Change Minimum Data Set (MDS), dated [DATE], Resident #124 was not assessed for cognition due to 'Resident is rarely/never understood'. Resident #124 is under guardianship of the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-13 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 privacy for one (Resident # 137) out of one resident reviewed for privacy as evidenced by, posting a visible sign on the wall in Resident # 137's room with Personal Health Information (PHI) that included Resident #137's name and hearing aids. There were one hundred-fifty-seven residents residing in the facility at the time of this survey. The findings are the following: Observation on 10/10/2022 at 11:34 AM revealed Resident #137 sitting in her wheelchair, she was alert but with some confusion. Observation revealed a piece of paper attached to the wall located at the head of the resident's bed, the information on the paper attached to the wall included the resident's name and a picture of hearing aids showing instruction with colors indicating the right and left side of the device. While observing the paper on the wall, Resident #137 stated in Spanish language it is for my hearing aids. When asked who put the paper on the wall,…

    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 · D2022-10-13 · 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 provide meaningful activities for 1(Resident #21) out of 2 residents reviewed for activities. The findings included: On 10/10/22 at 11:45 AM Resident #21 was observed in bed, staring at the wall to her left. Upon greeting resident and using her name, Resident #21 responded by smiling and began moving her lower body back and forth and appeared to be excited. It was noted that there were two televisions in the room and that neither one was positioned in a manner that Resident #21 would be able to see. On 10/11/22 at approximately 1:00 PM, Resident #21 was observed in her bed staring at the wall to her left. When Resident # 21 was greeted by the surveyor using her name, Resident #21 responded by smiling and began moving her lower body back and forth and appeared to be excited. It was noted that there were two televisions in the room and that neither one was positioned in a manner that Resident #21 would be able to see. On 10/12/22 at 8:39 AM,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility flailed to provide adequate supervision to prevent potential aspiration for 1 (Resident #6) of 5 residents sampled for nutrition review. The facility had 157 residents residing in the facility at the time of the survey. The findings included. During the observation of the lunch meal on 10/10/22 at 11:30 PM, it was noted that Resident # 6's lunch tray was served in the room. Further observation noted that the meal card located on the food tray documented: Aspiration Precaution, Honey Thick Liquids, and Pureed Diet with Ground Meats. During the meal observation from 11:45 AM to 12:30 PM it was noted that Resident #6 had some cognitive impairment, was able to self-feed, however, would take large bites of pureed foods. It was also noted that during the 45-minutes observation no staff entered the room to supervise or assist the resident with the consuming of the lunch meal. It was also noted that the resident had a container 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 · D2022-10-13 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual 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, it was determined that the facility failed to provide physician ordered thickened liquids to meet the needs of 1 (Resident #6) of 5 residents sampled for nutrition review. The findings included: During the observation of the lunch meal on 10/10/2022 at 11:45 AM, it was noted that the lunch tray was served to the room of Resident #6. A review of the lunch tray ticket documented; Pureed/ Ground Meats, Aspiration Precautions and Honey Thick Liquids. Further observation of the meal noted that a 16-ounce container of ice water (thin liquid) and a 16-ounce container of blue Gatorade® (thin liquid) was located on the over-bed table with the meal tray. Further observation noted that the resident was drinking both the water and Gatorade® thin liquids. A second meal observation of the breakfast meal of 10/11/22 at 7:30 AM again noted the meal tray served to the room of Resident #6 and a 16-ounce container of thin water and 16-ounce container of Gatorade® 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-13 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    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, it was determined that the facility failed to follow a physician ordered therapeutic diet (fluid restriction) for 1 (Resident #94) out of 5 residents sampled for nutrition review. The findings included: During the observation of the lunch meal on 10/10/22 at 12:30 PM, it was noted that the meal tray was served to the room of Resident #94. Observation of the lunch meal ticket on the meal tray documented a Mechanical Soft Diet and Fluid Restriction. Further observation of the lunch meal ticket revealed no amounts of fluids to be served were documented on the ticket. Observation of the meal noted that 8 ounces of water, 6 ounces of coffee, and 6 ounces of juice were served for a total of 600 ml (milliliters). It was also noted that the resident had an additional 6 ounces (180 ml) of water on the bedside table with the meal tray. During the meal observation it was noted that there was no supervision or assistance given to Resident #94. A second meal observation 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-13 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview and record review, the facility failed to demonstrate effective plan of actions were implemented to correct identified quality deficiencies in problem prone area related to repeated deficient practices for Activities Meet Interest/Needs Each Resident (F 679). As evidenced by the facility failed to provide meaningful activities for Resident #21. F 812 Food Procurement Store/Prepare/Serve/Sanitary (F 812), the facility failed to follow sanitation procedures in the kitchen and failed to ensure food was kept at the proper temperature for a resident going to dialysis treatment (Resident # 142). This deficient practice has the potential to affect 147 residents residing in the facility at the time of survey. The findings included: Record review of the facility's survey history revealed, during a recertification survey with exit dated 02/20/2020, F 679 Activities Meet Interest/Needs Each Resident was cited related to the care plan for a resident with no planned interventions to address activity needs and or preferences. F 812 for Food Procurement…

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

    Administration Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to VENTURA SERVICES — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.2-0.2 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 4 of 53.6+0.4 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 13 homes this chain runs (chain average 3.2★, 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
FAIR HAVENS INTERMEDIATE HOLDCO, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 10/12/2018
AGRP 2011 TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNFsince 06/17/2019
DEBORAH PHILIPSON 2011 FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNFsince 06/17/2019
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 06/17/2019
PARITZKY, JEREMIEIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/17/2019
SCHAFFER, DANIELIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/17/2019
BENGIO, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/17/2019
SUAREZ, JOSEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/31/2025
PHILIPSON, BENTIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
PHILIPSON, GABRIELLEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
PHILIPSON, RAQUELIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
RICHARDS MITCHELL & CROSS PAOrganizationADP OF THE SNFsince 06/17/2019
VENTURA SERVICES - FLORIDA, LLCOrganizationADP OF THE SNFsince 06/17/2019
ROMERO, SANDORIndividualADP OF THE SNFsince 10/01/2024

CMS files one row per role, so the 22 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$23.6M
Net patient revenuemost recent cost report
-14.4%
Operating marginrevenue minus expenses
$8.9M
Related-party expense33% of expenses
Who pays — share of resident-days
Medicaid 61%Medicare 16%Other / private 22%

This home reported $8.9M paid to related parties — landlords or management companies under common ownership — equal to about 33% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$402per resident / day
operating cost
$12,206per month
≈ monthly operating cost
$351per 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 106128. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-08, 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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