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Claridge House Nursing And Rehabilitation Center

13900 NE 3rd Court, North Miami, FL 33161 · For profit - Limited Liability company · 240 certified beds · (305) 893-2288 Medicare & Medicaid certified

Call the home — (305) 893-2288 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
2 immediate-jeopardy citations CMS recorded as corrected before the inspection ended (past non-compliance)$24,850 in federal fines
Insights

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

In its favor
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $24,850 in federal fines (most recent 2025-04-10)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • about 22% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 2 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, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
13500 NE 3rd Ct · (305) 756-7208 · Call to confirm hours
Pharmacy
Walgreens0.7 mi
14901 NE 6th Ave · (305) 949-5685 · Call to confirm hours
Grocery
13519 Memorial Hwy · (786) 657-4481 · Call to confirm hours
Park
Rucks Park Miami · Typically dawn to dusk
Place of worship
13725 NE 3rd Ct · (786) 665-1623

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 2 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 3 to 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.

Overall rating2★
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 increased4.2%8.7%15.4%better
Long-stay residents who lose too much weight6.5%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.1%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 symptoms7.9%4.6%6.5%worse
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 injury0.4%2.5%3.3%better
Long-stay residents whose ability to walk worsened3.6%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication11.5%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers2.9%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control3.7%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table7.8%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine100.0%94.7%79.4%better
Short-stay residents rehospitalized after admission29.1%26.1%22.6%worse
Short-stay residents with an outpatient ER visit10.4%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days3.202.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.131.151.80better

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.

39.0% 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 31 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

39.0%U.S. median 51.5%
Got home and stayed home
9.1%U.S. median 10.7%
Went back to hospital
58.3%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 58.3% 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 108 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 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 SNF39.0%CMS range 23.7–54.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.1%CMS range 5.8–12.210.7%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 discharge58.3%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 discharge53.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge38.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified94.1%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 setting95.1%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 dischargenot 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 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 worsened1.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.421.02Oct 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

0.67
RN hours/ resident / day
0.67
LPN hours/ resident / day
2.14
Aide hours/ resident / day
3.47
Total nurse hours/ resident / day
0.47
RN hoursweekends
23.2%
Total nursing turnover
37.8%
RN turnover

How full it usually is: this home is certified for 240 beds and averages 223.1 residents a day — about 93% occupied, or roughly 17 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 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 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 3.10 hrs/resident/day on weekends vs 3.62 on weekdays — 15% thinner on weekends. RN hours go from 0.75 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

5
deficiencies at the latest standard inspection (2026-03-20)
8
at the previous standard inspection (2024-08-22)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

31 citations, most serious first. The 12 most serious are shown; the remaining 19 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-04-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, records reviewed and interviews, the facility failed to provide adequate supervision to ensure residents' safety for one out of 3 sampled residents (Resident #1). As evidenced by, on 03/30/2025 Resident #1 left the facility undetected at approximately 12:45 PM, boarded a city bus and was found 8 hours later by law enforcement. The resident was located 5.2 miles away from the facility. The areas where the facility and where the resident was located are in high traffic areas and there were cross streets which could lead to the increased risk of the resident being hit by an automobile, falling, or being assaulted and/or being robbed based on his vulnerability and cognitive impairment. According to website, Accuweather.com on 03/30/2025 the temperature ranged between 72 degrees Fahrenheit (F) to 86 degrees (F) with scattered showers. It was determined that this deficient practice posed an Immediate Jeopardy (IJ) situation in which the provider's noncompliance with one or more requirements of…

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

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Immediate jeopardy · J2025-04-10 · tag F0835 — failed to run the facility competently — isolated
    Administer 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 observations, record review and interviews, the facility's administration failed to ensure effective systems were in place to provide adequate supervision for one out of three sampled residents (Resident #1). As evidenced by, on 03/30/2025 Resident #1 left the facility undetected at approximately 12:45 PM, boarded a city bus and was found 8 hours later by law enforcement. The resident was located 5.2 miles away from the facility. The facility and the area that the resident was located are both in high traffic areas with cross streets which could lead to the increased risk of the resident being hit by an automobile, falling, or being assaulted and/or being robbed based on his vulnerability and cognitive impairment. According to website, Accuweather.com on 03/30/2025 the temperature ranged between 72 degrees Fahrenheit (F) to 86 degrees (F) with scattered showers. It was determined that this deficient practice posed an Immediate Jeopardy (IJ) situation in which the provider's noncompliance with one or…

    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 · Past Non-Compliance
  • Potential for harm · Ecited before2026-03-20 · 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 ensure 1) proper temperatures of the foods stored in the 2 South Unit Floor Pantry Refrigerator and 1 North Unit Floor Pantry Refrigerator on the resident's units and 2) ensure kitchen staff were wearing a beard restraint. This has the potential to affect 54 residents out of 55 residents who eat orally residing on 2 South unit and to affect 44 out of 58 residents who eat orally residing on the 1 North unit at the time of the survey.The findings included:1) Record review of the Refrigerator and Freezer Temperature Monitoring Policy and Procedure (no written date) documented the following: Policy: The dietary department will maintain proper temperature control for all refrigerators and freezers used for food storage to ensure food safety and regulatory compliance; Procedure: Dietary staff will maintain manual thermometer to verify accuracy of the unit temperature when needed; Temperatures will be checked and recorded daily on the refrigerator temperature log; Acceptable temperature ranges are: Refrigerators: 36…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-03-20 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review the facility failed to ensure the refrigerators in the 2 South Unit Floor Pantry and 1 North Unit Floor Pantry used to store resident's food were working properly. This has the potential to affect 54 residents out of 55 residents who eat orally residing on 2 South unit and to affect 44 out of 58 residents who eat orally residing on the 1 North unit at the time of the survey.The findings included:Record review of the Refrigerator and Freezer Temperature Monitoring Policy and Procedure (no written date) documented the following: Policy: The dietary department will maintain proper temperature control for all refrigerators and freezers used for food storage to ensure food safety and regulatory compliance; Procedure: Dietary staff will maintain manual thermometer to verify accuracy of the unit temperature when needed; Temperatures will be checked and recorded daily on the refrigerator temperature log; Acceptable temperature ranges are: Refrigerators: 36 degrees Fahrenheit (F) to 41 degrees Fahrenheit (F) and if the temperature falls…

    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 before2026-03-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure a safe environment free from accidents hazards in four (Room # 231, room [ROOM NUMBER], room [ROOM NUMBER] and room [ROOM NUMBER]) out of fifty nine rooms on the second floor and for two (Resident #10 and Resident #153) out of thirty five sampled residents; as evidenced by 1) Personal hygiene products and medication found in residents' room unsecured 2) Resident #153 observed lying in bed with bilateral siderails upright with only left side rail padded. 2) Scissors observed on the table near Resident #10's bed and 3) A can of bug spray observed on the back shelf behind Resident #10's bed. There were 225 residents residing at the facility during the time of the survey. The findings include:During initial screening observation on 03/16/2026 starting at 8:00 AM the following was observed: room [ROOM NUMBER]- a bottle of bacterial mouth wash, blue in color on the overbed table room [ROOM NUMBER]-Three (3) full vials of Medication,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure oxygen therapy was delivered as prescribed for two residents (Resident #5 and Resident #211) with tracheostomies out of 11 residents receiving oxygen therapy. As evidenced by Resident #5 and Resident # 211 oxygen concentrator flow rates were not set at the prescribed rate. The findings include. Resident #5On 03/16/2026 at 8:22 AM Resident #5 was observed in bed with eyes closed and oxygen (02) running at three liters per minute (lpm) via tracheostomy.Observations on 03/17/2026 at 10:25 AM and 03/18/2026 at 8:14 AM revealed Resident #5 in bed awake with 02 running at four lpm via tracheostomy.Review of Resident #5's medical records revealed the resident was admitted to the facility on [DATE] and readmitted on [DATE]. Clinical diagnoses included but not limited to: Malfunction of Tracheostomy Stoma, Pneumonia due to other specified bacteria and Acute Pulmonary Edema.Review of the Physician's Orders Sheet for March 2026 revealed…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-20 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview and record review, the facility's quality assurance and assessment committee failed to demonstrate an effective plan of action was implemented to correct identified quality deficiencies in the problem area related to repeated deficient practice for F812- Food Procurement. Store/Prepare/Serve Sanitary. F867- QAPI/QAA Improvement Activities. F908- Essential Equipment, Safe Operating Condition. These repeated deficient practices have the potential to affect any of the 225 residents residing in the facility at the time of the survey. Record review of the facility's survey history revealed, during a recertification conducted on August 19, 2024, through August 22, 2024, the facility. was cited F812- Food Procurement, Store/Prepare/Serve Sanitary as the facility failed to ensure food was prepared under sanitary conditions. F908- Essential Equipment, Safe Operating Condition was cited as the facility failed to ensure a convection oven and stove used to prepare food for residents were…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations records reviewed and interviews, the facility's staff failed to address respiratory emergencies in a timely manner for two (Resident # 5 and Resident #6) out of three residents sampled residents; as evidenced by Resident #5 and Resident # 6 were noted in respiratory distress and the nurses failed to implement interventions in a timely manner. The findings included: On 01/23/2025 at 08:03 AM, Resident #6 was observed slumped in bed in distress; loud gurgling sounds noted, coughing and drooling; the resident shaking his head from side to side with facial grimacing indicating he is not feeling well, when asked if he had pain he nodded his head indicating yes. The oxygen was at 4 Liters Per Minute (LPM), tube feeding was infusing at infusing at 75 ml/hr. The nurse was called to the room. Staff A, RN entered the room to assist the resident and left the room to get Tylenol for the resident. came to the room put on gloves, was not wearing a gown and was not wearing a mask and speaking very close…

    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 · D2025-01-24 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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, reviews and interviews, the facility's staff failed to notify Resident #3's family /representative and physician of a change in condition for one out of three residents sampled as evidenced by Resident #3 who is at high risk for aspiration was observed vomiting and displaying signs of respiratory distress and on that specific date the facility staff did not notify the physician and the family of the changes in her condition. There were two hundred and ten residents residing in the facility at the time of the survey. The findings include. On 01/22/2025 at 8:44 AM Resident #3 was observed in bed the bed head was slightly elevated, her eyes were closed; audible gurgling breathing sounds also known as Rhonchi were noted, oxygen via nasal cannula was flowing at 2 Liters Per Minute (LPM), dark beige thick vomit was draining from Resident # 3's mouth, a large white towel was observed tucked under her chin and draped across her chest absorbing the vomit; Percutaneous endoscopic gastrostomy (PEG)…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-24 · 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 observation, interviews, and record review, the facility failed to implement measures to prevent aspiration for one (Resident #3) out of three residents with percutaneous endoscopic gastrostomy (PEG) tube at risk for aspiration as evidenced by Resident # 3 was observed with vomit draining from her mouth and the Registered Nurses failed to implement interventions in a timely manner; and failed to implement interventions to prevent PEG tube dislodgement for two (Resident #6 and Resident # 7) out of three residents sampled as evidenced by Resident #6 was noted with his unsecured PEG tube line resting above his hand and Resident #7's tube feeding line was observed wrapped around the privacy curtain that was wrapped around the metal pole that had the feeding infusing and hanging loosely on the inner section of the wheelchair's wheel (Photo evidence). Both residents clinical diagnoses include Seizures. These risk factors increases the risk for dislodgement of the PEG tubes and affect the residents'…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-24 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, records reviewed and interviews, the facility failed to secure medications and ensure the resident (Resident #6) received all of the crushed medications mixed with water during medication administration observation for one out of one resident (Resident #6) as evidenced by, Staff A, Registered Nurse (RN) left Resident #6's medications unattended and failed to ensure the resident received the full amount of each medication via PEG (Percutaneous Endoscopic Gastrostomy/also known as G-tube). There were 27 Residents residing in the facility with PEG tubes. Medication observation on 01/23/2025 at 08:09 AM, Staff A, RN was observed administering medications to Resident # 6 via PEG. Staff A, RN entered the resident's room with crushed medications Tylenol 325 milligrams (mg.) 2 tablets and Eliquis Oral Tablet 2.5 mg 1 tablet separately mixed with water in cups and. room to get the medications for the resident. Staff A, RN returned to the room with the medications (Tylenol 325 milligrams(mg) 1…

    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 · Dcited before2025-01-24 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record reviewed during this survey's investigations it has been determined that the facility failed to demonstrate effective plan of actions were implemented to correct identified quality deficiencies in the problem area related to repeated deficient practices for F 761 Label/Store Drugs and Biologicals, F693 Tube Feeding Management and F867 QAPI-QAA Improvement Activities. These repeated deficiencies have the potential to affect all residents residing in the facility. The findings included: Record review of the facility's survey history revealed, during a recertification survey with exit dated 08/22/2024 the facility was cited: F 761 Label/Store Drugs and Biologicals, F693 Tube Feeding Management and F867 QAPI-QAA Improvement Activities and during this complaint survey with exit dated 01/24/2024 the facility was cited again for F761 Label/Store Drugs and Biologicals, F693 Tube Feeding Management and F867 QAPI-QAA Improvement Activities. Review of the Policy and procedures revealed; It is the policy of the facility to develop, Implement, 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.

    Administration Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · D2025-01-24 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations records reviewed and interviews the facility's staff failed to implement infection prevention control precautions as evidenced by staff failed to follow Enhanced Barrier Precautions during Tracheostomy care for one out of two residents with tracheostomy in the facility. The findings included: Observation on 01/22/2025 at 02:09 PM Resident #3 was in bed with eyes closed, gurgling sounds and vomit draining from her the mouth. The tube feeding was infusing at 65 ml/hr. On 01/22/2025 at 02:30 PM Staff B, RN Supervisor entered the room performed hand hygiene put gloves on, did not put a gown, he checked the resident's mouth removed gloves and exited the room. On 01/23/24 at 8:03 AM before entering Resident 6's room an Enhanced Barrier Precautions sign was noted posted, and Personal Protective Equipment (PPE) was observed in a plastic container with drawers at the doorway. Resident #6 was observed in bed in distress with loud gurgling sounds noted coughing and drooling; the resident shaking his head from side to side with facial grimacing indicating he is not feeling…

    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 · Fcited before2024-08-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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, record review and interview the facility failed to ensure food was prepared under sanitary conditions as evidenced by failure to maintain equipment in the kitchen in a clean sanitary manner. This has the potential to affect one hundred and eighty-nine out of two hundred and seventeen residents who eat orally residing in the facility at the time of the survey. The findings include: Record review of the facility's policy titled Food Safety Requirements (implemented date 2/2020) documented: Policy-It is the policy of the facility to procure food from sources approved or considered satisfactory by federal, state and local authorities. Food will also be stored, prepared, distributed and served in accordance with professional standards for food service safety Policy Explanation and Compliance Guidelines: 6) All equipment used in the handling of food shall be cleaned and sanitized and handled in a manner to prevent contamination, a) Staff shall follow facility procedures for cleaning fixed cooking equipment. Review of the facility's policy titled Cleaning…

    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 · Fcited before2024-08-22 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure a convection oven and stove used to prepare food for residents were in good repair and clean. This has the potential to affect one hundred and eighty-nine out of two hundred and seventeen residents who eat orally residing in the facility at the time of the survey. The findings included: Record review of the facility's policy titled Food Safety Requirements (implemented date 2/2020) documented: Policy-It is the policy of the facility to procure food from sources approved or considered satisfactory by federal, state and local authorities. Food will also be stored, prepared, distributed and served in accordance with professional standards for food service safety Policy Explanation and Compliance Guidelines: 6) All equipment used in the handling of food shall be cleaned and sanitized and handled in a manner to prevent contamination, a) Staff shall follow facility procedures for cleaning fixed cooking equipment. Review of the facility's policy titled Cleaning Instructions: Ovens (written date 2/2020)…

    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 · D2024-08-22 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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 accommodate a resident's choice for food preferences for one resident (Resident number 63) out of two residents reviewed for choices and preferences. There were a total of 217 residents residing in the facility at the time of this survey. The findings included: Record review of the Resident Rights Policy and Procedure (Implemented 11/27/2019) documented: Policy-The facility will inform the resident both orally and in writing in a language the resident understands of his or her rights and all rules and regulations governing resident conduct and responsibilities during the stay in the facility. Policy Explanation and Compliance Guidelines: 1) Prior to or upon admission, the social service designee or another designated staff member, will inform the resident and/or the resident's representative of the resident's rights. Resident Rights: 1) The resident has the right to a dignified existence, self-determination and communication with and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview facility failed to implement the plan of care for one resident (Resident #75) out of five sampled as evidenced by no communication form filled out by nursing staff prior to dialysis. The findings Included: On 8/21/24 at 9:15 AM Resident #75 was observed in the Dialysis room. The Dialysis Home Program supervisor, Registered Nurse (RN) stated the floor nurse did not fill out a dialysis communication form for today but gave a verbal report to the Dialysis Patient Care Technician (PCT). On 8/21/24 at 9:18 AM dialysis PCT reported a verbal report was received from the nurse. Review of the demographic sheet for Resident#75 revealed an admission date of 2/9/22 and a readmission date of 9/3/23 with diagnosis that included: End Stage Renal Disease (ESRD), Dependence on Renal Dialysis. Record review of Resident #75's Quarterly Minimum Data Set (MDS) with reference date 6/24/24, Section C (Cognitive status) revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating cognition was intact. Section O (Special Treatment)…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag 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 observation, record review and interview the facility failed to ensure the facility's protocols and policies and procedures were followed for Enteral Feeding for four residents (Residents #37, #89, #157 and #194) out of four residents observed for tube feedings. As evidenced by incorrect dates and missing start times observed on enteral supplements, water bag flushes and incorrect date on an Enteral Feeding syringe. The findings Included: Resident #37 During observation on 08/19/24 at 09:01 AM Resident #37's enteral feeding Glucerna noted running at 70 milliliter per hour (ml/hr.), automatic water flush 50 ml/hr., enteral feeding supplement dated 08/18/2024 with no start time (photo available). Review of the medical records for Resident #37 revealed the resident was admitted to the facility on [DATE]. Clinical diagnoses included but not limited to: Gastro-Esophageal Reflux Disease without Esophagitis. Review of the Physician's Orders Sheet for August 2024 revealed Resident #37 had orders that included…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review facility failed to store and label medications properly in three medication carts out four sampled as evidenced by one expired eye drop on First floor south front medication cart, one unrefrigerated medication on second floor south back medication cart and one controlled substance count sheet not matching bingo card on the first floor north back medication cart. There were 232 residents residing in the facility at the time of survey. The findings included: 1) On [DATE] at 10:47 AM During a medication storage check with Staff D, Licensed Practical Nurse (LPN) on the first-floor South nursing station front medication cart. An eye drop labeled Cosopt for R#28 with an opened date written on bottle of [DATE] and no expiration date written. (see photo). Record review of Medications and eye drops listing located in book in cart stated once opened The Cosopt eye drop expires in 15 days. (see photo). Staff D, LPN stated, I check all the medications for the expiration…

    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 · Dcited before2024-08-22 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview and record review, the facility failed to demonstrate effective plan of actions were implemented to correct identified quality deficiencies in the problem area related to repeated deficient practices for F 656 Develop/Implement Comprehensive Care Plan, F 761 Label/Store Drugs and Biologicals, and F 812 Food Procurement, Store/Prepare/Serve-Sanitary,. These repeated deficiencies have the potential to affect the 217 residents residing in the facility at the time of this survey. The findings included: Record review of the facility's survey history revealed, during a recertification survey with exit dated 04/20/2023, F 656 Develop/Implement Comprehensive Care Plan, F 761 Label/Store Drugs and Biologicals, and F 812 Food Procurement, Store/Prepare/Serve-Sanitary were cited. Review of the Policy and procedures revealed; It is the policy of the facility to develop, Implement, and maintain an effective, comprehensive, data driven QAPI program that focuses on indicators of the outcomes of care and quality of life. The facility will take action aimed at…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make 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 observations record review and interview, the facility failed to ensure the laundry room is maintained in a safe clean/sanitary manner, as evidenced by washing machines noted soiled and dust laden; wasp nests on ceiling, rusted exhaust fans and floors in disrepair and failed to follow safety and infection control protocol for one out of four Biohazard rooms as evidenced by the the first floor North Biohazard room was not secured. The findings include On 8/20/24 at 9:25 AM during observational tour of the laundry room with the Housekeeping Director, the floors in the soiled utility room noted to be in disrepair, the washing machines noted with rust like stains to the front and sides and dust laden at the top.Further observation revealed two wasp nests on the ceiling. The exhaust fans were rusted, and the outer part of the exhaust fans were in disrepair (Photo evidence). The Housekeeping Director and two Maintenance Staff that entered during the tour acknowledged the findings. Review of the cleaning schedule document revealed staff had signed off daily to indicate 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-19 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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 record review and interviews, the facility failed to ensure medical records were complete and accurate with all information related to the care and services for one resident (Resident#1) out of nine sampled residents in accordance with accepted professional standard of practices as evidenced by no follow up documentation following an order for a wound care consult for Resident # 1. There were 210 residents residing in the facility at time of this complaint survey The findings included: Record review of demographic sheet for Resident#1 revealed admission dates of 1/31/20, 7/14/23 and 9/12/20, and discharge date s of 7/26/23, 9/1/23, and 9/25/23) with diagnosis that included Pressure Ulcer of Sacral region, Unstageable. Record review of the five- day Medicare Minimum Data Set (MDS) dated [DATE], Section C for cognitive status revealed a Brief Interview for Mental Status score of Three on a scale of zero to 15, indicated severe cognitive impairment. Section GG for functional status revealed the resident is…

    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 · D2023-11-02 · tag F0585 — failed to handle grievances — isolated
    Honor 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 interview and record review, the facility failed to acknowledge concerns voiced by one (Resident #1) out of one residents investigated for loss of personal items. The findings included: During an interview with Staff A, Licensed Practical Nurse (LPN) on 11/2/23 at 2:55 PM about resident #1's personal items and property revealed, she remembered Resident #1 and the night he was found unresponsive. She reported, Resident #1's daughter and son came first, and the grandchild came later. They collected Resident #1's cell phone, they asked for a blue robe. She reported, she went to the laundry to look for robe and reported, she found a hat, but the robe was not found. Staff A explained, she left this information on the 24 hour care report. Staff A reported, the robe was listed on the residents inventory list that was in his chart. Staff A reported, she advised the family to follow up with the supervisor to check in the laundry. Record review of Resident #1's Demographic Face Sheet revealed, an admission date of 10/15/2023. Diagnoses included but were not limited to syncope and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 the Preadmission Screening and Resident Review (PASRR) Level I for serious mental illness (MI) or intellectual disability (ID) was completed at the time of admission for two residents (Resident # 145, Resident # 153) out of four residents investigated. This deficiency had the potential to affect 213 residents residing in the facility at the time of the survey. The findings included: 1. Observation of resident # 145 on 04/19/23 at 08:24 AM. The resident was sleeping. No distress or anxiety was noted. It was observed the call light within easy reach. Observation of resident # 145 on 04/20/23 07:55 AM. The resident was sleeping. No distress or anxiety was noted. Record review of the clinical records for Resident # 145 revealed the resident was admitted to the facility on [DATE]. Clinical diagnoses included, but were not limited to, Nontraumatic Intracerebral Hemorrhage, Unspecified; Type 2 Diabetes Mellitus Without Complications;…

    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 before2023-04-20 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on Observation, Record Review and Interview, the facility failed to implement a comprehensive care plan for falls for one (Resident #101) out of 44 residents sampled. There were 213 residents residing in the facility at the time of this survey. The Findings Included: During Observation on 04/17/23 at 09:23 AM, Resident #101 was in bed awake, a floor mat was on one side of the bed, the other floor mat was at the foot of bed against the wall (photo available). On 04/18/23 at 09:26 AM, Resident #101 was out of the facility at a medical appointment. On 04/19/23 at 08:59 Resident #101 was in bed awake, bilateral floor mats were resting on the wall at the foot of the bed (photo available). On 04/20/23 at 08:25 AM Resident #101 was observed in bed awake, bilateral floor mats were against the wall at the foot of the bed, a black stool was by the right side of the bed. Review of the medical records for Resident #101 revealed, the resident was admitted to the facility on [DATE]. Clinical diagnoses included but were…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to provide a safe environment free of accident hazards for one (Resident #101) out of 44 residents sampled, as evidenced by bilateral floor mats not on the floor beside the resident's bed while the resident was in bed. There were 213 residents residing in the facility at the time of this survey. The Findings Included: During Observation on 04/17/23 at 09:23 AM, Resident #101 was in bed awake, a floor mat was on one side of the bed, the other floor mat was at the foot of bed against the wall (photo available). On 04/18/23 at 09:26 AM, Resident #101 was out of the facility at a medical appointment. On 04/19/23 at 08:59 Resident #101 was in bed awake, bilateral floor mats were resting on the wall at the foot of the bed (photo available). On 04/20/23 at 08:25 AM Resident #101 was observed in bed awake, bilateral floor mats were against the wall at the foot of the bed, a black stool was by the right side of the bed. Review of the medical records…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to change the oxygen tubing weekly as required for three (3) Residents (#23, #70, #462) and follow the physician's order for oxygen therapy as prescribed for two (2) Residents (#145, #187) out of four (4) sampled residents. This had the potential to affect the 38 residents receiving respiratory therapy in the facility at the time of the survey. The Findings Included: 1. During observation on [DATE] at 09:17 AM, Resident #23 was observed in bed oxygen (02) running at 2.0 liters per minute (LPM) via nasal canula (NC), no dates observed on 02 tubing, Intravenous pole at bedside, nebulizer at bed side in a bag dated [DATE] (photo available). On [DATE] at 09:32 AM, Resident #23 was in bed watching television, 02 running at 2LPM via NC, stated she needs the door to be left opened, Staff explained to resident they close the door while giving care to the resident's roommate. On [DATE] at 08:55 AM, Resident #23 was observed in bed asleep, 02…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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, interview, and record review, the facility failed to ensure pharmaceutical procedures were followed during and after medication administration for two (Resident #54, #89) out of six (6) residents sampled. There were 213 residents residing in the facility at the time of the survey. The Findings Included: 1. During medication observation on 4/18/2023 at 8:40AM with Licensed Practical Nurse (Staff G) poured 10 milliliters (ML) of Vitamin C Liquid in a medication cup and placed it on a foam tray for medication administration. Before leaving the cart to administer liquid vitamin C to Resident #54, surveyor requested Staff G to take a look at the order, Staff G stated the order is for 5ML of vitamin C, when asked how much medication is in the medication cup, Staff G stated 10ML, Staff G then proceeded to pour some of the liquid vitamin C into the drug buster on the medication cart and then rechecked the medication at eye level on the flat surface of the cart. The amount left in the medication…

    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 · Dcited before2023-04-20 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure proper temperatures of the foods stored in the 1 North Unit Floor Pantry Refrigerator. The refrigerator did not contain a thermometer in the refrigerator and the freezer. This has the potential to affect forty six residents out of fifty six residents who eat orally residing on 1 North wing. The findings included: Record review of the Refrigerator Temperature Monitoring Policy and Procedure (written 09/1998, revised 06/2021) documented the following: Policy: Pantry refrigerator temperature will be checked by the 11-7 Licensed Nurse and recorded daily on the Pantry refrigerator temperature log located in the pantry. Temperature will be maintained between 36 to 46 degrees at all times; Purpose: Regulatory compliance for the storage of perishable food items; Procedure: Licensed nurse records on the temperature log daily, Licensed nurse ensure that defective thermometer are replaced as needed. Observation of the 1 North Unit Floor Pantry Refrigerator with Staff S, Licensed Practical Nurse (LPN) 11-7 shift 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0848 — isolated
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the arbitration agreements presented to three residents (Resident number 165, Resident number 120 and Resident number 210) out of three residents reviewed provided for the selection of a venue convenient to both parties. The findings included: Record review for Arbitration agreements on facility letterhead documented the following: 1) The facility offers arbitration agreements; 2) The facility asks residents to enter into an arbitration agreement and provides new admissions with the arbitration agreement during the admission process and 3) The NHA (Nursing Home Administrator) is responsible for the binding arbitration agreements. Review of the facility's Voluntary Binding Arbitration Agreements presented to Resident number 165 on 1/18/2023, presented to Resident number 120 on 4/05/2022 and presented to Resident number 210 on 2/22/2023 failed to show the arbitration agreement provided for the selection of a venue convenient to both parties. Interview and record review with the Admissions Director on 4/20/23 at 8:53…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-20 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview and record review, the facility failed to demonstrate an effective plans of action were implemented to correct identified quality deficiencies in the problem area related to repeated deficient practices for F602 Free from Misappropriation/Exploitation related to the facility failed to prevent misappropriation of funds for Resident #611, 316, 62, 315, 314, 313, and F755 Pharmacy Service/Procedures/Pharmacist/Records related to the facility failed to follow pharmacy procedures for Resident # 54, #89. These deficiencies have the potential to affect 213 residents residing in the facility at the time of survey. The findings included: Record review of the facility's survey history revealed, during a recertification survey with an exit dated 09/22/2016, F602 Free from Misappropriation/Exploitation related to the facility failed to prevent misappropriation of funds and F755 with an exit date of 01/27/2022 Pharmacy Service/Procedures/Pharmacist/Records related to the facility failed to follow pharmacy procedures. Review of the Policy and procedures revealed,…

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

    Administration Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$24,850 in federal fines across 1 penalty.

  • $24,850 — penalty dated 2025-04-10

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.

Part of a chain

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

RatingThis homeChain avg
Overall 2 of 53.2-1.2 vs chain
Health inspection 2 of 52.8-0.8 vs chain
Staffing 4 of 53.6+0.4 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 13 homes this chain runs (chain average 3.2★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
CLARIDGE OP HOLDING LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/01/2021
AGRP 2011 TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNFsince 11/08/2021
DEBORAH PHILIPSON 2011 FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNFsince 11/08/2021
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 11/08/2021
KRAUS, ABRAHAMIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/08/2021
PARITZKY, JEREMIEIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 11/08/2021
BENGIO, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/08/2021
STERN, EDWARDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/13/2025
PHILIPSON, BENTIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
PHILIPSON, GABRIELLEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
PHILIPSON, RAQUELIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
RICHARDS MITCHELL & CROSS PAOrganizationADP OF THE SNFsince 11/08/2021
VENTURA SERVICES - FLORIDA, LLCOrganizationADP OF THE SNFsince 11/08/2021
OJEDA, MANUELIndividualADP OF THE SNFsince 08/01/2023

CMS files one row per role, so the 23 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$26.0M
Net patient revenuemost recent cost report
+8.1%
Operating marginrevenue minus expenses
$5.4M
Related-party expense22% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 14%Other / private 15%

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $5.4M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$308per resident / day
operating cost
$9,362per month
≈ monthly operating cost
$335per 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 105513. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-20, 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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