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Nursing & Rehabilitation Center Of New Port Richey

8417 Old County Rd 54, New Port Richey, FL 34653 · For profit - Corporation · 120 certified beds · (727) 376-1585 Medicare & Medicaid certified

Call the home — (727) 376-1585 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Nov 2025
Insights

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

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
6633 Forest Ave Ste 105 · (727) 845-4300 · Call to confirm hours
Pharmacy
6518 Main St · (727) 844-7040 · Call to confirm hours
Grocery
6400 Massachusetts Ave · (727) 841-7381 · Call to confirm hours
Park
5580 Frances Ave · (727) 841-4560 · Typically dawn to dusk
Place of worship
6508 Main St · (727) 355-2864

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 3 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 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 rating1★
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 increased7.3%8.7%15.4%better
Long-stay residents who lose too much weight12.4%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 symptoms0.6%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.0%2.5%3.3%better
Long-stay residents whose ability to walk worsened13.8%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication15.1%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers6.6%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control13.7%10.5%21.2%worse than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table9.9%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.4%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine96.1%94.7%79.4%better
Short-stay residents rehospitalized after admission26.8%26.1%22.6%worse
Short-stay residents with an outpatient ER visit10.7%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.412.131.67better
Long-stay outpatient ER visits per 1,000 resident days0.951.151.80better

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

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

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

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

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

46.4% 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 75 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

46.4%U.S. median 51.5%
Got home and stayed home
11.5%U.S. median 10.7%
Went back to hospital
34.1%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.09hours / resident / day
Speech therapy

Met the expected recovery: 34.1% 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 91 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF46.4%CMS range 37.5–55.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.5%CMS range 8.2–15.610.7%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 discharge34.1%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 discharge27.5%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 discharge26.4%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 identified98.3%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 stay0.0%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 worsened2.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.5%CMS range 6.3–14.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.041.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.52
RN hours/ resident / day
0.90
LPN hours/ resident / day
2.12
Aide hours/ resident / day
3.54
Total nurse hours/ resident / day
0.26
RN hoursweekends
53.8%
Total nursing turnover
66.7%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 103.9 residents a day — about 87% occupied, or roughly 16 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 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 3.22 hrs/resident/day on weekends vs 3.67 on weekdays — 12% thinner on weekends. RN hours go from 0.63 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

10
deficiencies at the latest standard inspection (2024-12-05)
6
at the previous standard inspection (2023-04-13)

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

Inspection deficiencies

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

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.

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

  • Potential for harm · Ecited before2025-11-20 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor 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

    Based on observations, interviews and record review the facility failed to maintain a safe, clean, comfortable and home-like environment related to bio growth on shower equipment in four communal shower rooms (B, C, E, and F) out of four communal shower rooms observed. Findings include:On 11/20/2025 at 12:01 p.m. an observation was made of the communal showers in B wing. Two of two shower equipment were observed to have brown, pink and black bio growth.On 11/20/2025 at 12:59 p.m. an observation was made of the communal showers in C wing. Two of three shower equipment revealed pink, black and brown bio growth.On 11/20/2025 at 1:09 p.m. an observation was made of the communal shower in E wing. Two of two shower chairs showed pink, brown and black bio growth.On 11/19/2025 at 1:14 p.m. an observation was made of the communal shower room in F wing. One of two shower chairs showed pink and black bio growth.In an interview was conducted on 11/20/2025 at 4:01 p.m. with the Director of Maintenance (DOM). DOM stated showers are expected to be cleaned daily and after each use, and deep…

    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 · E2025-11-20 · tag F0925 — failed to control pests — pattern
    Make 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, interviews, and record review, the facility failed to maintain an effective pest control program in the facility's common areas (nursing station and dining room); in four rooms (101, 106, 130, 230) located in four wings (B, C, E and F) of four wings observed.Findings included:On 11/19/2025 at 9:15 a.m. an observation of room [ROOM NUMBER]b revealed a small insect crawling on the wall.On 11/19/2023 at 10:52 a.m. an observation was made of the resident's dining area located outside of the kitchen. The observation revealed numerous small flying insects, approximately 10, landing on countertop, cabinets, sink, and icemaker.On 11/19/2025 at 12:14 p.m. an observation was made of an insect flying around and landing on the nurse's station desk located between B wing and C wing.On 11/19/2025 at 3:00 p.m. an observation was made of resident room [ROOM NUMBER] where a gnat was seen flying in the resident's room.An interview was conducted on 11/19/2025 at 1:00 p.m. with the kitchen manager (KM). He…

    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 before2025-11-20 · tag F0609 — failed to report abuse allegations — isolated
    Timely 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 resident medical record review, facility record review, staff and resident family interviews, the facility failed to report and investigate an incident/event for one of one sampled resident, (#12), and who was reviewed as leaving the facility without signing out per the facility's Leave Of Absence rules. It was found the facility did not know Resident #12's whereabouts for over thirty minutes, after he left the facility grounds. Findings included:During an interview with the facility's Nursing Home Administrator (NHA), and the Director of Nursing (DON)/Risk Manager (RM) on 11/19/2025 at 2:45 p.m., both revealed Resident #12 was admitted at the facility from 7/1/2025 through to 10/31/2025, for skilled and therapy services. Also, the NHA and DON/RM revealed Resident #12 was discharged to the community to his daughter's house with Home Health Services, per his discharge care planning on 10/31/2025. The NHA and DON/RM revealed during Resident #12's admission, he was his own decision maker and had an ongoing…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-19 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    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 observations, interviews and record review, the facility failed to provide access to a functional call light for one resident (#3) out of three residents reviewed for call lights. Findings included: On 06/19/25 at 10:16 a.m. an observation and interview with Resident #3 was conducted. She was observed sitting in her wheelchair next to her bed dressed in appropriate day clothes. She stated things are ok. Her call light was observed next to her within reach on her left side, but she stated her call light doesn't work. She stated it is a squeeze call light and has not worked for one week or more. She stated they gave her a ringing hand bell to use but when she uses it, nobody comes. She stated has to wait until she sees someone to receive the care she needs. She stated it scares her. She stated she doesn't get back into bed when she wants to because she is just left in her room and cannot do it herself. She stated she doesn't know if they are doing anything about her call light and feels afraid 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-12-05 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor 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 On 12/4/24 at 9:43 AM, an observation of Resident #157 was conducted in the resident's room. The resident was sitting in his wheelchair next to his bed and pointed to the floor next to the bed on his left side and stated this poop had been on the floor since they changed him the previous night. A brown substance was observed all over the floor next to the resident's bedside and it appeared to be feces. The resident stated he had just finished eating breakfast and confirmed he had to do so with this on the floor next to him. At this time, the surveyor pressed the call light. Staff I and J, both Certified Nursing Assistants (CNAs), responded immediately and were interviewed. When asked if the mess on the floor should be there since last night and through the resident's breakfast, they both stated this should have been cleaned and advised they would get housekeeping to do so immediately. Both Staff I, CNA and Staff J, CNA agreed this was not right and it should have been cleaned up the minute it occurred.…

    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 · E2024-12-05 · tag F0847 — pattern
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    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 interviews and record reviews, the facility failed to explain the arbitration agreement to the resident and/or his or her responsible party (RP) in a form and manner that could be understood, including in a language the resident and his or her RP could understand; for two residents (Resident #359 and Resident #66) of three residents sampled for arbitration agreements. Findings included: On 12/5/24 at 9:57 AM arbitration agreements were reviewed with Staff B, Admissions Director (AD). Staff B, AD presented the electronic version of the arbitration agreement for Resident #359 and Resident #66. The documents were electronically signed by Staff B, AD but not signed by Resident #359, Resident #66, or by either resident's RP. Staff B, AD stated, I didn't have the resident sign the arbitration agreement because it was all verbally explained to the resident on admission, and no one is agreeing or disagreeing with arbitration. They are just explained the process. I offer a copy of any form they sign. At 10:15 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-05 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to maintain an effective infection control and prevention program to prevent the spread of infection by 1.) failing to follow Enhanced Barrier Precautions during catheter care for one resident (Resident #31) of one resident reviewed for catheter care, 2.) failing to ensure resident's meals were delivered in a clean and sanitary manner during one of three meal observations, and 3.) failing to maintain the facility laundry area in a clean and sanitary manner in one of one laundry room. Findings included: Review of the facility's policy titled Infection Control Transmission Based Precautions, date revised February 2024, revealed Enhanced Barrier Precautions can be applied to residents with indwelling medical devices. Review of the facility's policy titled Catheter Care-Quality of Care, date revised January 2024, revealed the facility will maintain infection control guidelines related to catheter care to minimize catheter associated…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-05 · tag F0557 — isolated
    Honor 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

    Based on observations, interviews, and record reviews, the facility failed to ensure resident's right to be treated with respect and dignity for one resident (Resident #157) of 37 resident's sampled. Findings included: On 12/3/24 at 2:38 PM, Resident #157 was observed sitting in his room in a wheelchair next to his bed. He stated he is continent of bowel and bladder, but he needs assistance to transfer from his bed to get to the bathroom. The resident stated he has had diarrhea because of the antibiotics he is currently on since he was admitted . He stated it takes the staff forever to come when he presses his call bell to request assistance in getting to the bathroom when he has a bowel movement. Resident #157 stated he has waited for over an hour on many occasions and has to defecate in his brief, and then wait for staff to come and clean him up. He stated this is humiliating and wants to get out of the facility as soon as possible. On 12/4/24 at 9:43 AM, an observation of Resident #157 was conducted in the resident's room. The resident was sitting in his wheelchair next to his…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-05 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure Minimum Data Set (MDS) Comprehensive Assessments contained accurate information for two residents (Resident #46 and Resident #77) of 37 sampled residents. Findings included: An interview with Resident #46 was conducted on 12/3/24 at 1:14 PM. Resident #46 was observed with a discolored area of green and tan to right side of her head above right eyebrow extending to right side of her head. Resident #46 stated I fell out of the wheelchair and broke my neck. A review of Resident #46's 5-Day MDS assessment dated [DATE] revealed under Section J - Health Conditions Resident #46 had no falls since admission or prior assessment. An interview was conducted on 12/5/24 at 10:36 AM with the facility's Director of Nursing (DON). The DON stated she was aware of Resident #46's fall on 10/13/24 and the resident sustained a fracture from the fall. The DON also stated Resident #46 had just come out of the dining room and was sitting in her…

    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 · D2024-12-05 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 develop a Baseline Care Plan within 48 hours of admission for one (Resident #75) of 37 sampled residents. Findings included: Review of Resident #75's medical record revealed Resident #75 was admitted to the facility on [DATE]. Review of Resident #75's medical record did not reveal a Baseline Care Plan. On 12/5/24 Staff F, Licensed Practical Nurse (LPN) and Minimum Data Set (MDS) Coordinator provided a copy of Resident #75's Baseline Care Plan and stated it was the one done after the original admission. Review of the Baseline Care Plan revealed it was dated 12/1/24. An interview was conducted on 12/5/24 at 11:57 AM the Facility Administrator (FA). The FA stated Baseline Care Plans should be completed with the admission assessment, within 24 hours. Some of the information comes from hospital records, therapy, and staff, but a main component is to speak to and evaluate the resident. The FA also stated the Baseline Care Plan for Resident #75 dated 12/1/24…

    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 10 citations
  • Potential for harm · Dcited before2024-12-05 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, observations, and record review, the facility failed to provide appropriate equipment to maintain range of motion and mobility for one resident (Resident #77) of one resident sampled for limited range of motion. Findings included: An observation was conducted on 12/3/24 at 1:32 PM of Resident #77 lying in bed with a palm guard to her right hand. Resident #77 was observed to have contractures of both hands. Resident #77's left thumb extended horizontally resting between the first and second knuckle with the first digit extending downward. The third, fourth, and fifth digits on the resident's left hand were curled against the palm just below the thumb side of hand. The resident's right thumb was extended outwards with the index finger, third, fourth and fifth digits curled against the palm of the hand. Resident #77's bilateral wrists were contracted at an angle with the hands and arms contracted at the elbows into the residents chest area. Review of Resident #77's medical record revealed Resident #77 has diagnoses of contracture of left wrist, contracture of left…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-05 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure physician orders for tube feeding were followed and failed to ensure tube feeding was administered in a proper manner for one resident (Resident #31) of one resident reviewed for tube feeding. Findings included: Review of the facility's policy titled Enteral Nutrition, date revised January 2014 revealed adequate nutritional support through enteral feeding will be provided to residents as ordered and central supply will be responsible for ordering all tube feeding supplies. Repeated requests for the facility's procedure for proper hanging and labeling of tube feeding supplies was not granted by the end of the survey week. During a tour of the facility conducted on 12/3/24 at 9:55 AM, Resident #31 was observed with a tube feeding bag hanging. Closer observation revealed a bottle of Jevity 1.5 formula sitting on the bedside table. There were no labels, date, or time written on the bag or the bottle. The tube feeding machine was set…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-05 · 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

    Based on observations, interviews, and record and policy review, the facility failed to store all drugs and biologicals in locked compartments and permit only authorized personnel to have access to them for one resident (Resident #19) of 37 sampled residents. Findings included: On 12/4/24 at 9:00 AM, the surveyor observed refresh eye drops at the bedside of Resident #19 while observing medication administration with Staff A, Licensed Practical Nurse (LPN). Resident #19 stated, I use the eye drops often and keep the lid loose so it's easy to access. Staff A, LPN stated he was not aware Resident #19 had medication at the bedside and confirmed in the medical record Resident #19 was not assessed and did not have a care plan in place to have medication at the bedside. Staff A, LPN removed the medication from Resident #19's room. On 12/4/24 at 3:22 PM during an interview with the Director or Nursing (DON), she stated a physician order for self-administration and a nursing assessment would be required and the medication would be kept in a lock box in the resident's room. The DON confirmed…

    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 · D2024-12-05 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop 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 and record review, the facility failed to maintain resident's vaccination records, including consents, in an adequate manner for two residents (Resident #66 and 75) of five residents reviewed for vaccination records. Findings included: Review of the facility's policy titled Infection Control Immunizations-Influenza, last revised February 2024, revealed the facility shall provide pertinent information about significant risks and benefits of vaccines to residents in accordance with regulations and a resident's refusal of the vaccine shall be documented on the Informed Consent and placed in the resident's medical record. Review of Resident #66's medical record revealed she was admitted to the facility on [DATE]. Resident #66 signed the Influenza vaccination consent form on 8/10/24, indicating she declined the vaccination. There was no staff member name/title present on the form indicating influenza education was provided by a staff member and there was no response documented on the form…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-13 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to 1) provide treatment and care related to pressure related skin conditions and, 2) follow physician orders for a non-pressure related skin condition for one resident (#58) of two residents sampled. Findings included: During an interview on 04/10/2023 at 10:50 a.m., Resident #58 stated he had several skin areas that needed a dressing, his abdomen, groin and backside, and the facility had not placed the dressing on his backside since Friday (04/07/2023), when he was to shower. He had been asking about this, but he still does not have a dressing on it. A review of Resident #58's admission Record revealed diagnoses that included pressure ulcer of unspecified site, stage 4. A review of the Minimum Data Set (MDS), dated [DATE], Section C: Cognitive Patterns showed the resident had a Brief Interview of Mental Status (BIMS) score of 15/15, indicating the resident had no cognitive impairment. Section M: Skin Conditions showed the resident 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-13 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review, and a test tray temperature check the facility failed to provide and serve food at an appetizing temperature to four residents (#260, #22, #3, #87) out of 23 sampled residents. Findings included: During an interview on 04/10/23 at 10:04 a.m., Resident #260 stated the food was cold most of the time. During an interview on 04/10/23 at 11:03 a.m., Resident #22 stated the food was occasionally cold. During an interview on 04/10/23 at 11:47 a.m., Resident #3 stated the food comes out cold. During an interview on 04/10/23 at 1:00 p.m., Resident # 87 stated the food was cold at times. A review of the facility's Grievance Log revealed the following concerns related to cold food temperatures: -March 2023- A concern was addressed about food temperatures. The outcome showed there was monitoring of food temperatures. -November 2022- A concern was addressed about food. The outcome showed food temperature checks were conducted. On 04/10/23 at 12:20 PM, a test tray for food temperatures was conducted with the Dietary Manager on the last tray removed from 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-13 · 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 observations, interviews, and record review the facility failed to 1) ensure temperatures were checked and documented daily for the walk-in refrigerator, walk in freezer, reach in refrigerator and dishwashing machine, and 2) ensure the walk-in freezer was in good working order. This practice had the potential to effective 104 out of 107 residents residing in the facility. Findings included: An observation on 04/10/23 at 9:10 a.m., showed the April 2023 dish washer temperature document had missing temperatures. The following dates had missing temperatures with photogenic evidence obtained: - 04/06/23- dinner shift - 04/07/23- dinner shift - 04/08/230-dinner shift - 04/09/23- dinner shift - 04/10/23- breakfast shift During an immediate interview on 04/10/23 at 9:10 a.m., Staff A Dietary Aid (DA) stated the dish washer temp log should have been completed before every meal (breakfast, lunch, and dinner) at three times a day. Staff A DA confirmed the April 2023 dishwasher temperature log was missing temperature checks and was incomplete. An observation on 04/10/23 at 9:20 a.m.,…

    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 before2023-04-13 · tag F0609 — failed to report abuse allegations — isolated
    Timely 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 interviews, the facility failed to report an alleged violation and investigation of abuse/neglect, within the required timeframe, related to elopement for one resident (#17) out of the two sampled residents for elopement. Findings included: A review of the admission Record showed Resident #17 was initially admitted into the facility on [DATE] with diagnoses of unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Section C: Cognitive Patterns of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #17 had a Brief Interview Status (BIMS) score of 08 out of 15, indicating moderately impaired cognition. Section G: Functional Status of the quarterly MDS, dated [DATE], revealed Resident #17 needed the following assistance for activities of daily living: bed mobility, dressing, toilet use, and personal hygiene- extensive assistance with one-person physical assist, transfer- extensive assistance with…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-13 · 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 record review and interviews, the facility failed to ensure one resident (#109) of thirty-one residents sampled, had a complete and accurate Minimum Data Set (MDS) assessment coded for discharge to community. Findings included: A record review of Resident #109's electronic medical record revealed an admission date of 09/26/2022, with primary diagnosis of Chronic Obstructive Pulmonary Disease with (Acute) Exacerbation. A discharge progress note showed the resident was discharged to community (home) on 01/13/2023. A record review of the MDS, dated [DATE], read A2100 Discharge Status shows 03 Acute Hospital. The MDS needed to show for Resident #109 01 Community discharge date [DATE]. On 04/12/23 at 02:15 p.m., an interview was conducted with the MDS Coordinator. During the interview the MDS Coordinator confirmed the MDS was coded incorrectly and needed to be changed to reflect Resident #109's discharge to the community, and not to the hospital. The MDS Coordinator further revealed she would fix the 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 splints were applied to prevent a decrease in range of motion for one resident (#45) of two sampled resident for range of motion. Findings included: An observation conducted of Resident #45, on 04/10/2023 at 9:58 AM and 04/13/2023 at 10:00 AM, revealed Resident #45 in his bed, without any splints or braces on his hands. Both of his hands were observed each time with closed, fingers bent and touching the palms. A review of Resident #45's admission Record revealed diagnoses that included Hemiplegia (partial paralysis) following cerebral infarction (stroke) affecting left non-dominant side and dementia without behavioral disturbance. A review of Minimum Data Set (MDS) assessment, dated 03/04/2023, Section C: Cognitive Pattern, revealed a Brief Interview for Mental Status (BIMS) score of 0/15, which indicated the resident was severely cognitively impaired. Section G: Functional Status revealed he required extensive to total assistance with mobility and activities of daily living (ADL) performance and had…

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

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

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ASTON HEALTH — 38 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 1 of 52.7-1.7 vs chain
Health inspection 2 of 52.5-0.5 vs chain
Staffing 1 of 52.2-1.2 vs chain
Quality measures 3 of 54.1-1.1 vs chain
The other 37 homes this chain runs (chain average 2.7★, per CMS)
1 of 5Crescent Health And Rehabilitation CenterSarasota, FL 1 of 5Kensington Gardens Rehab And Nursing CenterClearwater, FL 1 of 5Oak Haven Rehab And Nursing CenterAuburndale, FL 1 of 5Vero Beach Care CenterVero Beach, FL 2 of 5Baya Pointe Nursing And Rehabilitation CenterLake City, FL 2 of 5Capri Health And Rehabilitation CenterVenice, FL 2 of 5Creekside Health And Rehabilitation CenterSarasota, FL 2 of 5Fairway Oaks CenterTampa, FL 2 of 5Flagler Health And Rehabilitation CenterBunnell, FL 2 of 5Haines City Rehabilitation And Nursing CenterHaines City, FL 2 of 5Highlands Lake CenterLakeland, FL 2 of 5Indian River CenterWest Melbourne, FL 2 of 5North Port Rehabilitation And Nursing CenterNorth Port, FL 2 of 5Pensacola Nursing & Rehabilitation CenterPensacola, FL 2 of 5Riverwood CenterJacksonville, FL 2 of 5Sandgate Gardens Rehab And Nursing CenterFort Pierce, FL 2 of 5Sea Breeze Rehab And Nursing CenterVero Beach, FL 2 of 5Tierra Pines CenterLargo, FL 2 of 5Viera Del Mar Health And Rehabilitation CenterViera, FL 2 of 5Winter Garden Rehabilitation And Nursing CenterWinter Garden, FL 3 of 5Cedarbrook Health And Rehabilitation CenterFort Myers, FL 3 of 5Coquina CenterOrmond Beach, FL 3 of 5Eagleridge Health And Rehabilitation CenterFort Myers, FL 3 of 5Fouraker Hills Rehab And Nursing CenterJacksonville, FL 3 of 5Hillside Health And Rehabilitation CenterZephyrhills, FL 3 of 5Oakpark Health And Rehabilitation CenterPalm Harbor, FL 4 of 5Bridgeview CenterOrmond Beach, FL 4 of 5Coastal Health And Rehabilitation CenterDaytona Beach, FL 4 of 5Debary Health And Rehabilitation CenterDebary, FL 4 of 5Fernandina Beach Rehabilitation And Nursing CenterFernandina Beach, FL 4 of 5Island Lake CenterLongwood, FL 4 of 5Meadowpark Health And Rehabilitation CenterDunedin, FL 4 of 5Parkside Health And Rehabilitation CenterDeland, FL 4 of 5Ruleme CenterEustis, FL 4 of 5Seaside Health And Rehabilitation CenterDaytona Beach, FL 5 of 5Bayview CenterEustis, FL 5 of 5Osprey Point Nursing CenterBushnell, FL

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
NEW PORT RICHEY MEMBER LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 04/01/2022
SH INDIGO CITADEL INVESTORS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST14%since 01/01/2024
ORNSTEIN, MARTONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 01/01/2024
WILDES, DONNAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/28/2025
DILELLA, VINCENTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
ST. JOHN, KEVINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/16/2026
STEINHILBER, DOLISABELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/15/2026
ASTON HEALTHCARE LLCOrganizationADP OF THE SNFsince 01/01/2024

CMS files one row per role, so the 12 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$11.8M
Net patient revenuemost recent cost report
-9.4%
Operating marginrevenue minus expenses
$1.9M
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 70%Medicare 9%Other / private 22%

This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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

$330per resident / day
operating cost
$10,032per month
≈ monthly operating cost
$302per 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 105459. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-12-05, 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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