Woodside Health And Rehabilitation Center
3601 Lakewood Blvd, Naples, FL 34112 · For profit - Limited Liability company · 120 certified beds · (239) 775-7757 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited May 2025
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0565)
- inspectors cited 3 immediate-jeopardy problems — the most serious level
- a high number of inspection citations overall (35) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $56,166 in federal fines (most recent 2025-05-16)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (67%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 7.4% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 6.7% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.3% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 0.0% | 4.6% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.2% | 2.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 6.2% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 15.1% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.9% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 20.4% | 10.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 5.6% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.2% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 62.2% | 94.7% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 23.2% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 8.6% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.30 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.69 | 1.15 | 1.80 | better |
* 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.
46.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 160 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 51.1% 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 47 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 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 46.0%CMS range 38.1–53.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 8.0–13.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 51.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 70.2% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 40.4% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.5% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.6%CMS range 3.6–10.0 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.87 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 113.3 residents a day — about 94% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.481 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 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 3.18 hrs/resident/day on weekends vs 3.60 on weekdays — 12% thinner on weekends. RN hours go from 0.68 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 67% is well above the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
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.
35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.
- Immediate jeopardy · J2025-05-16 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, review of facility's policies and procedures, and staff interviews, the facility failed to protect each Residents' right to be free from abuse and neglect when they failed to accurately evaluate the risk for elopement and develop a individualized care plan to address wandering behaviors for Resident #53, and failed to immediately investigate an incident of staff to resident verbal abuse for Resident #5. Resident #53 was admitted to the facility on [DATE] and exhibited behaviors such as yelling out, combativeness and disrobing in the hallways. Resident #53 required continuous use of oxygen for Chronic Obstructive Pulmonary Disease (COPD). Staff interviews revealed Resident #53 was confused, constantly wandered and required close supervision. On 5/2/25, sometime between 6:00 p.m., and 6:55 p.m., Resident #53, who was cognitively impaired, with a history of dementia, unsafe wandering behaviors, and oxygen dependent, was able to exit the building unsupervised and without staff…
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.
- Immediate jeopardy · J2025-05-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, record review, resident representative and staff interviews, the facility failed to ensure processes were in place to ensure the safety of cognitively impaired residents at risk for elopement. The facility failed to accurately assess the risk for elopement and adequately supervise to prevent elopement of 1 (Resident #53) of 1 cognitively impaired, mobile and confused resident with known wandering behavior. Resident #53 was a vulnerable adult with severe cognitive impairment, confusion and multiple behaviors such as yelling out, disrobing in the hallway and constant wandering. On 5/2/25 at an unknown time after 6:00 p.m., staff failed to adequately supervise Resident #53. Resident #53 exited the facility without staff knowledge and necessary supervision. Staff were not aware of the resident's exit until 5/2/25 at approximately 7:00 p.m. On 5/2/25 at an unknown time after 7:00 p.m., Resident #53 was found at a gas station located approximately 0.1 mile from the facility. Resident #53 crossed…
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.
- Immediate jeopardy · J2025-05-16 · tag F0835 — failed to run the facility competently — isolatedAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
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 staff interviews, the facility administration failed to utilize its resources effectively to ensure processes were in place and implemented to prevent neglect and maintain the safety of cognitively impaired and confused residents to prevent unsafe wandering and elopement. Resident #53 was a vulnerable adult with severe cognitive impairment, confusion and multiple behaviors such as yelling out, disrobing in the hallway and constant wandering. On 5/2/25 at an unknown time after 6:00 p.m., staff failed to adequately supervise Resident #53. Resident #53 exited the facility without staff knowledge and necessary supervision. Staff were not aware of the resident's exit until 5/2/25 at approximately 7:00 p.m. On 5/2/25 at an unknown time after 7:00 p.m., Resident #53 was found at a gas station located approximately 0.1 mile from the facility. Resident #53 crossed a busy four lane road to get to the gas station located on a busy eight lane highway. The facility administration…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-12-01 · tag F0557 — patternHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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, review of facility's policies and procedures, staff and resident interviews, the facility failed to respond timely to residents' request for assistance for 2 (Residents #750 and #799) of 3 residents observed.The findings included:On 11/12/25 at 5:52 a.m., during a tour of the [NAME] Hall the call light of room [ROOM NUMBER] was observed on. Licensed Practical Nurse (LPN) Staff A and LPN Staff B were observed in the hallway passing medications. A Certified Nursing Assistant (CNA) walked past the room and entered another resident's room. The call light remained on and unanswered until the Social Service Director was observed answering the call light at 6:09 a.m.On 11/12/25 at 6:20 a.m., Resident #750 was heard yelling out loudly for help for approximately 15 minutes. The call light was not on. No staff were observed in the hallway.Review of the clinical record revealed Resident #750 had an admission date of 8/11/24. Diagnoses included history of falling, and benign prostatic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-12-01 · tag F0565 — failed to support the resident council — patternHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the Resident Council Meeting Minutes and resident and staff interviews, the facility failed to act promptly upon the grievances expressed by the residents and the Resident Council group.The findings included:A review of the Resident Council meeting minutes for August 2025 through November 2025 revealed ongoing concerns related to call light response time.On 8/19/25 the Resident Council New Business documented Staff need to make sure call lights are always in reach. CNA's (Certified Nursing Assistants) need education on call light answering. Residents would like quicker call light response on weekends.There was no documentation to address the concerns with the call light response time.On 9/16/25 the Council meeting minutes documented expressed under new business Regarding weekend CNA's some residents cannot get as quick of a response to call lights; more mobile residents will help locate them. Is this appropriate?There was no documented response from the facility to address the concerns.On 10/7/25 the Resident Council meeting minutes documented under New Business,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-12-01 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the facility nursing assignments and staff interviews, the facility failed to have a designated Licensed Nurse to serve as a charge nurse on the 11:00 p.m., to 7:00 a.m. shift as required.The findings included:On 11/12/25 at 5:35 a.m., Licensed Practical (LPN) Nurse Staff A answered the door upon arrival to the facility. A request was made to speak with the designated charge nurse. In an interview, LPN Staff A said there was no charge nurse assigned to the 11:00 p.m., to 7:00 a.m., shift. LPN Staff A said there has never been an assigned charge nurse on the night shift. She said if an emergency occurred the staff were to contact the Director of Nursing (DON).On 11/12/25 at 5:50 a.m., in an interview LPN Staff B confirmed there was no designated charge nurse on duty for the shift. She said there never is a designated licensed nurse to serve as a charge nurse for the night shift. Staff B said, If we have a problem we call the DON.On 11/12/25 at 6:45 a.m., in an interview LPN Staff E said there was no charge nurse assigned on the night shift. She said they call the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-01 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
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 resident and staff interviews, policy review and record review, the facility failed to ensure that 2 (Residents #800 and #900) of 4 residents sampled were free of significant medication errors.The findings included:1. Review of facility Policy 5.0 Reordering, Changing, and Discontinued Medication Orders (Effective Date blank) revealed Policy: The facility will communicate any medication reorders, changes, or discontinuations to the pharmacy in accordance with pharmacy guidelines and state/federal regulations; thus ensuring standardized process of communication. Procedure: A. All orders must clearly be communicated to the pharmacy by the facility. This includes resident's full name (first and last). B. Reorder/Refill orders. 3. Verbal Orders: Refill orders can be submitted verbally. The following information must be communicated to the pharmacy: Facility, unit, physician, customer's full name, room number, prescription number to be refilled, medication name, medication strength, name of person placing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-01 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy and procedure and staff interviews, the facility failed to ensure medications were stored in locked compartments when not in use in 1 ([NAME] Hallway) of 3 hallways observed to prevent unauthorized access to medications.The findings included:Review of the facility policy and procedure titled, Medication Storage and Labeling revised 1/2024 revealed, The facility stores all drugs and biologicals in a safe, secure, and orderly manner. Procedure: Drugs and biologicals used in the facility are stored in locked compartments . Only persons authorized to prepare and administer medications have access to locked medications.On 11/12/25 at 5:40 a.m., during the initial tour of the facility, observation of the [NAME] Unit Hallway revealed two medication carts:The first cart had two prefilled syringes of Normal Saline Solution 0.9%, a bottle of powdered Cefazolin (antibiotic) 2 grams for Resident #700, and an intravenous bag of 50 milliliters normal saline that were unlocked…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-28 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a physician's order was documented for insertion of a size 20 French urinary catheter for 1 (Resident #3) of 3 residents reviewed for urinary catheters (tube inserted in the bladder to drain urine). The findings included: Review of the facility policy for Standards and Guidelines: Physician Orders, revised 1/2024: 5.) Verbal orders should be recorded in the resident's chart by the authorized person receiving the order and should include the prescriber's name, credentials, the date and the time of the order. Review of the admission Minimum Data Set (MDS) assessment with a target date of 3/12/25 revealed Resident #3 was admitted on [DATE]. Diagnoses included neurogenic bladder (Bladder dysfunction). Resident #3 had an indwelling urinary catheter Review of the hospital discharge record form 3008 dated 3/5/25 revealed Resident #3 had an indwelling urinary catheter size 16 French (fr). Review of the progress notes revealed on 3/14/25 at 8:58 a.m., 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.
- Potential for harm · Dcited before2025-05-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, residents and staff interviews, the facility failed to provide maintenance services to maintain a home-like environment and failed to store residents' care items in a safe and sanitary manner for 5 (Residents #57, #36, #56, #81, and #32) of 20 sampled residents, and in 1 (room [ROOM NUMBER]) of 10 rooms observed for environment. The findings included: 1. On 5/12/25 at 9:21 a.m., observation of the bathroom shared by Resident #57 and Resident #36 revealed: Two uncovered gray wash basins, two uncovered gray bed pans, and an uncovered urine measuring hat stored in a pile on the floor under the sink, next to the trash container. Photographic evidence obtained. In an interview during the observation, Resident #57 said staff use a basin to wash her in bed. In an interview during the observation, Resident #36 said she saw the wash basins, bed pans and the measuring hat on the floor under the sink but did not know who put them there. On 5/15/25 at approximately 9:50 a.m., the two uncovered gray…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-16 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to report alleged violations related to abuse and neglect to the proper authorities within prescribed timeframe for 2 (Residents #53 and #5) of 2 residents reviewed for abuse and neglect. The findings included: Review of the facility's policy and procedure titled, Abuse, Neglect, Exploitation, Misappropriation, Mistreatment and Injury of Unknown Origin (ANEMMI) with a revised date of 03/2025 revealed, Reporting: . Staff are required to report any allegation of ANEMMI to the facility risk manager, direct supervisor, and/or abuse coordinator immediately upon knowledge of the allegation . The facility must: Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment . are reported immediately, but no later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-16 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, resident and staff interviews the facility failed to have documentation of an investigation for an allegation of abuse for 1 (Resident #5) of 3 residents reviewed for allegation of abuse. The findings included: Review of the facility's Abuse, Neglect, Exploitation, Misappropriation, Mistreatment, and Injury of Unknown Origin (ANEMMI) Policy (last revised on 3/2025) revealed, Abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. Abuse also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being. Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled through the use of technology . Staff are required to report any allegation of ANEMMI to the facility…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-16 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and record review the facility failed to ensure 1 (Resident #12) of 2 residents reviewed for activities, attended activities of their choice to maintain and/or improve their psychosocial well-being and independence. The findings included: On 5/12/25 at 10:30 a.m., 11:16 a.m., 12:35 p.m., and 3:00 p.m., Resident #12 was observed in his room without the television or radio on. Resident #12 was not observed in any of the facility's activities during the day. On 5/13/25 at 8:30 a.m., 10:32 a.m., and 11:00 a.m., Resident #12 was observed in his room without the television or radio on. Resident #12 was not observed in any of the facility's activities during those observations. On 5/13/25 at 11:00 a.m., in an interview Resident #12 said he was blind and could not see but he would like to go outside and feel the sun and wind on his face. He said he didn't remember the last time a facility staff brought him outside to enjoy the sunlight and/or the last time he attended an out-of-room activity with other residents. Review of Resident #12's medical record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 22 citations
- Potential for harm · Dcited before2025-05-16 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff and resident interviews, and medication record review, the facility failed to identify and monitor the safe and proper storage of medications for 1(Resident #48) of 1 resident observed with unsecured medications at the bedside. The findings included: Review of the facility Standards and Guidelines, Medication Storage and Labeling issued 03/2021 and revised 01/2024 stated, Drugs and biologicals used in the facility Must be labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable. Drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light, and humidity controls. Only persons authorized to prepare and administer medications have access to locked medications. Review of the clinical record for Resident #48 revealed an initial admission date of 8/14/2021. Diagnoses included Hypertension, Diabetes, Dependence on Renal Dialysis, and CVA (Cerebral Vascular Accident). Her BIMS (Brief Interview for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-07-11 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, residents and staff interviews, the facility failed to provide maintenance services to maintain a clean, safe and comfortable environment in 15 (Rooms 314, 325, 418, 201, 203, 212, 307, 309, 314, 324, 328, 337, 407, 403, and 418) of 15 rooms observed and 3 ([NAME], Hibiscus and Heritage) of 4 hallways observed. The findings included: On 7/10/24 at 9:30 a.m., during a tour of the facility the following observations were made: Common hallways were being used as storage spaces for wheelchairs, walkers, supply carts, water carts, mechanical lifts, and mattresses. Photographic evidence obtained Common hallway floors with the tile cracked, missing or stained throughout the building. Photographic evidence obtained Common hallways with multiple areas of peeling wallpaper and warped/damaged cove base. Photographic evidence obtained Multiple resident bathrooms with black bio-growth on walls and/or ceiling including rooms 314, 324 and 418. Photographic evidence obtained Multiple resident rooms and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-07-11 · tag F0585 — failed to handle grievances — patternHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, residents and staff interviews, the facility failed to ensure resolution of residents grievances related to call lights for 2 (Residents #5 and #6) of 4 residents interviewed who complained of staff not promptly responding when the call light is activated to request assistance. The findings included: On 7/11/23 at 10: 01 a.m., in an interview Resident #6 said depending on who is working, when he calls for help, staff does not come right away and sometimes they never come. Resident #6 said he's had to get up and go to the nurses station to request assistance. On 7/ 11/24 at 10:15 a.m., in an interview Resident #5 said the call bell system has been broken for a while and there was a temporary system in place. She says getting assistance could take a bit. She said when she pressed the button, she will wait 15 minutes then press it again. She said after waiting for 45 minutes she has to get out of her bed and go to the nurses station for assistance. Resident #5 said she was lucky that she could walk and did not know how residents who could not walk went to the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-07-11 · tag F0760 — failed to prevent significant medication errors — patternEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure 1 (Resident #3) of 3 sampled residents was free from a significant medication error by failing to administer multiple doses of an ammonia reducing medication in accordance with the physician's order. The findings included: Facility policy titled Physicians Orders Revised 1/2024 indicated: 9. Physician orders should be followed as prescribed, and if not followed, this should be recorded in the resident's medical record during the shift. The physician should be notified and the responsible party if indicated. 10. The resident will be informed of medication changes as they occur. If the resident is deemed incapable of making health care decisions, the residents responsible party will be informed of medication changes as they occur. Review of the clinical record for Resident #3 revealed an admission date of 5/31/24 following a hospitalization for a liver workup and was on the waitlist for a liver transplant. The hospital discharge instructions…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-01 · tag F0550 — failed to protect resident dignity and rights — patternHonor 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 4 (Resident #12, #20, #42, and #55) of 5 sampled residents received care and services with respect and dignity. The finding included: 1. Resident #12 was admitted to the facility on [DATE] with a history of coronary artery disease, heart failure, peripheral vascular disease, renal insufficiency, chronic pain, anxiety disorder, and depression. The Quarterly Minimum Data Set (MDS) dated [DATE] showed Resident #12's cognition was mildly impaired with a Brief Interview for Mental Status score of 12. The MDS noted Resident #12 required supervision with transferring, ambulation, eating, and toileting and extensive assistance with dressing. On 8/29/23 at 9:07 a.m., Resident #12 said staff did not treat her respectfully. Resident #12 said staff have an attitude when they care for her. On 8/29/23 at 9:37 a.m., Resident #12 said staff will sometimes open her bathroom door without knocking when she is using the bathroom and it makes her feel…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-09-01 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, resident, and staff interviews, the facility failed to ensure the availability of sufficient nursing staffing to meet the needs of 5 (Residents #55, #12, #47, #330 and #383 ) of 31 sampled residents. The failure to ensure sufficient nursing staffing to provide timely care and services could prevent residents from attaining, or maintaining their highest practicable physical, mental, and psychosocial well-being. The findings included: The facility's assessment with a date reviewed by the Quality Assurance and Performance Improvement committee on July 20, 2023, noted Registered Nurses and the Licensed Practical Nurses were based on 1.0 per person per day state mandated requirements. Certified Nursing Assistants direct care staff is based on Day shift: (7a-3p): 8-9 CNA's Evening Shift:(3p-11p) 8-9 CNA's Night Shift:(11p-7p) 5-6 CNA's The hours were based upon the state mandatory requirement of 2 hours per person per day. The Facility Assessment showed 77 residents required the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-01 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, record review, facility policy review and reportable events review the facility failed to have documentation of a thorough investigation of an allegation of neglect for 1 (Resident #230) of 2 residents reviewed. The findings included: The facility's policy and procedure titled, Abuse, Neglect, Exploitation, Misappropriation, Mistreatment, and injury of Unknown Origin (ANEMMI) revised 10/2022 noted, Identification . Any resident event that is reported to any staff by resident, family, other staff or any other person will be considered as possible ANEMMI if it meets any of the following criteria: . Any complaint of deprivation by an individual caregiver of goods and services necessary to attain or maintain physical, mental, and psychological well-being to include toileting issues . Any report to Adult Protective Services will trigger an internal investigation . Review of the clinical record for Resident #230 revealed documentation on 2/7/23 at 9:15 p.m., a police officer came to the facility to visit Resident #230. The resident told the police officer that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-01 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to ensure 2 (Residents #58 and #60) of 2 residents reviewed with newly evident or possible serious mental disorder, intellectual disability (ID) or related condition were referred to the appropriate state-designated mental health or intellectual disability authority for review for newly diagnosed mental illnesses. The findings included: 1. Resident #60 was admitted to the facility on [DATE] with a Level I Preadmission Screening and Resident Review (PASRR). On 5/5/22 the diagnosis of schizoaffective disorder, bipolar type was added to Resident #60's diagnosis list, and she began receiving Risperidone 1 mg (antipsychotic medication), 1 tablet by mouth two times per day related to schizoaffective disorder, bipolar type. Record review of Resident #60's chart on 8/30/23 revealed the PASRR had never been updated and sent for review for the newly diagnosed condition. On 8/31/23 at 2:37 p.m., the Social Services Director (SSD) said with the new diagnosis…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide nutritional interventions in a timely manner to prevent weight loss for 2 (Residents #30, and #7) of 5 residents reviewed for nutrition and hydration. The findings included: 1. On 8/28/23 at 11:13 a.m., observed Resident #30 in bed. His face was gaunt, his arms and legs were bony. He said he does not get a supplement. Review of the AHCA Form 5000-3008 completed by the hospital revealed Resident #30 weighed 66 kilograms (kg) (145.2 lbs.) on 7/20/23 when discharged from the hospital. Review of the clinical record revealed Resident #30 was admitted to the facility on [DATE] with diagnoses including pneumonia, chronic obstructive pulmonary disease, sepsis, and moderate protein-calorie malnutrition. Review of the physician's orders dated 7/21/23 revealed the resident was receiving a regular diet with a pureed texture, nectar/mildly thick consistency. Review of the facility Nutrition assessment dated [DATE] revealed Resident #30's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-01 · tag F0759 — failed to keep medication error rate low — isolatedEnsure 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 observations, staff interviews, records review and facility policy review the facility failed to ensure medication error rate was not greater than 5%. Three nurses were observed administering a total of 25 medications to three residents. Two medication errors were observed resulting in a medication error rate of 8%. The findings included: Review of facility policy titled Administering medications revised [DATE] which stated, Policy statement: Medications are administered in a safe and timely manner, and as prescribed . 8. The individual administering the medications verifies the resident's identity before giving the resident his/ her medications . 11. The expiration/ beyond use date on the medication label is checked prior to administering. On [DATE] at 9:30 a.m., during medication administration Licensed Practical Nurse (LPN) Staff A was observed preparing medications to administer to Resident #44. LPN Staff A removed Fluticasone 50 micrograms nasal spray from the medication cart. The Fluticasone spray…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-01 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility policy, staff and resident interview, the facility failed to comprehensively assess food preferences for 1 (Resident #131) of 2 residents reviewed for food choices. The findings included: The facility's policy titled, Standards and Guidelines: Food Preference revised July 2023 noted, The food likes and dislikes of each resident are determined through a dietary food preference assessment. 1. Upon the resident's admission, the Food Service Manager will interview the resident to determine the resident's food likes and dislikes. a. Time frame of 7-10 days after admission. 2. Facility shall maintain the resident's likes and dislikes. This will also include diet order, which indicates any dietary restrictions . On 8/28/23 at 11:17 a.m., Resident #131 stated she likes to eat healthy with lots of fruits, vegetables, and salads. The resident said she did not want pasta and heavy food. She said since her admission at the facility, no one has talked to her about her 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.
- Potential for harm · D2023-09-01 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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, review of facility's policy and procedure, and record review, the facility failed to administer the pneumonia vaccine as requested for 1 (Resident #20) of 5 residents reviewed for immunizations. The findings included: Review of the facility policy for pneumonia immunizations revised 12/2022 noted upon admission, residents will be assessed for eligibility to receive the pneumococcal vaccine series, and when indicated, will be offered the vaccine series within thirty (30) days of admission to the facility unless medically contraindicated or the resident has already been vaccinated. On 8/29/23 at 11:59 a.m., Resident #20 said she could not remember the facility offering her the pneumonia vaccine. Review of the admission record for Resident #20 revealed Resident #20 admitted to the facility on [DATE] with diagnosis of senile degeneration of the brain, heart disease, weakness, and unsteadiness on feet. Review of Resident #20's medical record revealed a consent for the pneumonia vaccine signed on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-01 · tag F0887 — isolatedEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure 1 (Resident #20) of 5 residents reviewed for immunization received the COVID-19 vaccine as requested. The findings included: Review of the facility policy for COVID-19 revised on 7/12/23 page 8 of 10 indicated COVID-19 vaccines are offered to residents and staff in accordance with the Center for Diseases Control (CDC) guidance. On 8/29/23 at 11:59 a.m., Resident #20 said she did not remember being offered the COVID-19 vaccine from the facility. Review of the admission record for Resident #20 revealed Resident #20 admitted to the facility on [DATE] with diagnosis of senile degeneration of the brain, heart disease, weakness, and unsteadiness on feet. Review of Resident #20's clinical record revealed a consent for the COVID-19 vaccine dated 8/1/23. Review of the physician's orders for Resident #20 did not include a physician's order for COVID-19 vaccine. Review of Resident #20's Medication Administration Records (MARs) and Treatment Administration…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, staff and resident interview, the facility failed to ensure 1 (Resident #49) of 3 sampled dependent residents had access to the facility call system to alert staff when assistance was required. The findings included: Review of the Quarterly Minimum Data Set (MDS) assessment with a reference date of 8/24/21 noted Resident #49 required extensive to total physical assistance of two persons for activities of daily living such as bed mobility, transfer, personal hygiene, and toileting. On 10/18/21 at 11:27 a.m., in an interview, Resident #49 said he could never find the call light to request staff assistance. Resident #49 said when he did have the call light and put it on, the staff come in and turn the light off and say they will return and never come back. During the interview, the call light was observed on the floor behind the head of the bed. *Photographic Evidence Obtained* Certified Nursing Assistant (CNA) Staff B was in the resident's room providing care to Resident #49's roommate and said she would take care of the call light. CNA Staff B…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, review of facility policy, record review, resident and staff interviews, the facility failed to provide the necessary services to maintain personal hygiene for 2 (Resident #24 and #49) of 3 residents sampled for activities of daily living (ADLs). The findings included: The facility policy AM Care (updated 10/19) specified, To assist patient with morning care in preparation for daily activities while protecting the patient's right to personal choice . 1. The Annual Minimum Data Set (MDS) with a reference date of 8/1/2021 noted Resident #24 had a diagnosis of dementia and scored 10 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The care plan revised on 11/20/2020 documented Resident #24 required assistance at times and instructed staff to assist with bathing, showering, daily hygiene, grooming, dressing, and oral care as needed. On 10/18/21 at 1:10 p.m., during an observation Resident #24 was in his room and was dressed in his own clothing. The resident did not respond to questions. The room had a pungent odor. Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-10-21 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, staff and resident interview, the facility failed to provide an ongoing program of activities designed to meet the interest and support the well-being of 2 (Resident #57 and #74) of 3 residents reviewed for activities. The findings included: The facility policy for Communal Dining and Activities dated 04/30/21, Copywrite 2021 ProMedica Health System read, . Review the number of patients with a current interest in the program scheduled i.e., Bingo which is a Cards/game interest. If the report reflects more patients with an interest in Cards/games that any room can hold based upon proper social distancing of six (6) feet, consider scheduling two or more activities of the same program type. 3. Fully vaccinated patients - Patients may participate in activities without face covering or social distancing if all participating residents are fully vaccinated. 4. Unvaccinated patients . If unvaccinated patients are present during communal activities, then all patients must use face covering while participating in activity. Redesign seating arrangements 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.
- Potential for harm · D2021-10-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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, review of facility policy, record review, and staff interview, the facility failed to have documentation of interventions as per the physician's order to treat and prevent the worsening of pressure ulcers for 1 (Resident, #332) of 3 residents reviewed for pressure ulcers. The facility failed to follow wound care orders for 1(Resident #283) of 3 residents reviewed for pressure ulcers. The findings Included: The facility's Skin Practice Guidelines HCR Healthcare LLC dated 2013 stated, .Daily skin evaluations are completed by the licensed nurse for any patient with a pressure ulcer . Weekly skin evaluations are completed by the licensed nurse for any other patient. Skin evaluations are documented in the clinical record . The facility's Documentation Guidelines dated 05/2021 stated, All medications ordered/ administered are documented on the Medication Administration Record. All treatments ordered/ completed are documented on the Treatment Administration Record. Clinical record review showed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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
Based on observation, record review and staff interview, the facility failed to have documentation of consistent catheter care and ensure the proper placement of the urinary catheter drainage collection bag to reduce potential complications for 1 (Resident #19) of 1 sampled resident with indwelling catheter. The findings included: Review of the facility's ongoing management strategies Indwelling catheters (2012 HCR Healthcare LLC) noted .Strategies to prevent UTI (Urinary Tract Infection) . Keep collection bag below the level of the bladder. Routine meatal care . Review of the clinical record for Resident #19 revealed a physician's order dated 6/27/21 for a Foley catheter (Catheter placed in the bladder to drain urine) for urinary retention and Foley catheter care every shift. Review of the care plan for use of indwelling urinary catheter revised on 6/28/21 revealed a goal for no acute complications of urinary catheter use. The interventions included to provide catheter care and maintain drainage bag below bladder level. On 10/18/21 at 10:45 a.m., Resident #19 was observed in a low…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-10-21 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of facility policy, and staff and resident interviews, the facility failed to maintain complete and accurate records for 3 (Residents #14, #19, and #332) of 20 resident records reviewed. Accurate records are necessary to measure progress and facilitate communication among the interdisciplinary team. The findings included: The facility policy Documentation Guidelines (revised 5/21) documented, All treatments ordered/completed are documented on the Treatment Administration Record (TAR) . Don't document before care is provided. 1. On 10/21/21 at 10:30 a.m., in an interview Resident #14 said she had a peripheral inserted central catheter (PICC) (a thin, tube inserted into a vein in the arm or chest used for prolonged intravenous access) that was inserted in her right chest during a recent hospital stay. Resident #14 said the insertion site was covered with a dressing on her right chest and no one at the facility had changed the dressing since she was admitted on [DATE].…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-21 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, review of policies and procedures, and staff and resident interview, the facility failed to provide care and services to minimize the risk of infection of a central line for long term antibiotic use for 1 (Resident #14) of 1 resident reviewed with a central line. The facility failed to maintain appropriate infection prevention measures during pressure ulcer dressing change for 1 (Resident #80) of 2 residents observed for dressing changes. The facility failed to ensure the proper placement of the urinary catheter drainage collection bag to reduce potential complications for 1 (Resident #19) of 1 sampled resident with indwelling catheter. The findings included: 1. Review of facility policy titled, Midline/ Peripherally Inserted Central Catheter (PICC) Dressing Change dated 1/09 stated, the purpose of the dressing is to maintain catheter site integrity by keeping catheter in correct position and covered by an intact dressing; and to reduce the risk of local infection at catheter insertion site and catheter-related bloodstream infection .Change gauze dressing every…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-21 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and staff interview the facility failed to maintain a safe and comfortable environment by not making necessary repairs in residents' rooms and bathrooms. The findings included: On 10/18/21 at 4:34 p.m., during observation of Resident #57's bathroom the towel bar was broken and hanging from the wall. *Photographic Evidence Obtained* On 10/19/21 at 8:53 a.m., during observation of Resident 39's bathroom the wall glove holder was missing. There were two holes in the wall next to the mirror where the glove holder had been mounted. The gloves were stored on top of the sharps-container. *Photographic Evidence Obtained* On 10/19/21 at 9:38 a.m., during observation of Resident 284's room there were exposed old telephone wires hanging out of the wall across from Resident #284's bed. *Photographic Evidence Obtained* On 10/21/21 at 1:40 p.m., the Maintenance Director confirmed he was responsible for making repairs throughout the facility, including the residents' rooms and bathrooms. On 10/21/21 at 1:50 p.m., during a facility tour with the Maintenance Director, Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-21 · tag F0925 — failed to control pests — isolatedMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews the facility failed to demonstrate effective pest control in the rooms of 4 (Resident # 29, #36, #45, and #74) of 4 residents residing in the 400 halls who expressed concerns of bugs in their rooms. The findings included: On 10/18/21 at 12:03 p.m., during interview with Resident #74, small black bugs were observed crawling on the resident's sheets, pillowcases, and the resident's neck. The bugs were also crawling on the outside of the nightstand. The Interim Director of Nursing verified the observation and Resident #74 was relocated to a different room. On 10/21/21 at 3:25 p.m., in an interview Resident #29 and Resident #36 both said there were ants on the windowsill. Resident #29 said, They came along and sprayed yesterday, and the ants aren't there. I tell the nurse when I see them. On 10/21/21 at 3:32 p.m., in an interview Resident #45 stated, I saw a few ants this morning, two or three, and a roach. The resident across the hall throws food out of the window…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$56,166 in federal fines across 1 penalty.
- $56,166 — penalty dated 2025-05-16
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| WOODSIDE REHAB HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/04/2023 |
| BP BIRCHWOOD TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | since 05/05/2023 |
| LF WOODSIDE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | since 05/05/2023 |
| WILDES, DONNA | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/28/2025 |
| ALONSO, RICARDO | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/15/2025 |
| NORDINE, TAMMY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 07/16/2024 |
| PETROSINI, VINCENT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/09/2024 |
| WALLACE, PAIGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 07/08/2025 |
| ASTON HEALTHCARE LLC | Organization | ADP OF THE SNF | — | since 05/05/2023 |
CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
4 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.
This home reported $307K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105421. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-16, 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.