Villa Maria Nursing Center

Location & what’s nearby

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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

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.

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.

63.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 47 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.9% 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 57 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 0.21 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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.

Staffing

How full it usually is: this home is certified for 212 beds and averages 184.5 residents a day — about 87% occupied, or roughly 28 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 3.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.41 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 3.52 hrs/resident/day on weekends vs 3.87 on weekdays — 9% thinner on weekends. RN hours go from 0.63 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

23 citations, most serious first. The 13 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · J2025-09-05 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews and interviews, the facility neglected to provide a secure environment for one (Resident #1) out of three sampled resident that displayed exit seeking behaviors and intent of elopement. As evidenced by cognitively impaired Resident #1 whose diagnoses include Dementia, and unsteady gait exited the facility undetected by staff on 8/04/2025 at 4:24 PM and ambulated 0.7 miles from the facility in temperatures that temperature ranged between a high of 92 degrees and a low of 80 degrees Fahrenheit according to AccuWeather, and was found by law enforcement at 4:46 PM wandering in a neighborhood that has high traffic volume and busy intersections. These deficient practices increased the risk for Resident #1 to be hit by an automobile and suffer major injury based on the facility's location and where Resident #1 was found are in areas with high traffic volume and busy intersections.Refer to F689.The findings included:Record review of the facility's policy titled, Suspected Adult,…

  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
• Immediate jeopardy · Jcited before2025-09-05 · 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 reviews and interviews, the facility failed to provide a secure environment that with adequate supervision and an effective monitoring system; for one (Resident #1) out of three sampled residents that displayed exit seeking behaviors and intent of elopement; as evidenced by: 8/04/2025 at 4:24 PM Resident #1 who is impaired cognitively with diagnoses of Dementia and unsteady gait left the facility undetected by staff and was found at 4:46 PM on 8/04/25 by law enforcement 0.7 miles from the facility wandering in a neighborhood that has high traffic volume and cross streets this deficient practice increased the risk for the resident to be hit by an automobile that could have resulted in the likelihood of an adverse outcomes, sustained serious injury, serious harm or death. According to Accu weather.com on that day the temperature ranged between a high of 92 degrees and a low of 80 degrees Fahrenheit that could have caused Resident #1 to succumb to heat stroke. Refer to F600. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2024-03-15 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  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 observation, interview and records reviewed, the facility failed to ensure a safe environment endangering the life of all occupants in the facility. The facility failed to maintain the Fire Alarm system and failed to maintain the faulty fire panel. These deficient practices places all occupants of the facility at risk for smoke inhalation, serious burns, or death in the event of fire. The facility also failed to notify the residents and their representatives of the system failures. These findings resulted in the determination of Immediate Jeopardy that started on January 5th, 2024. Cross reference Event PFKY21 The findings included: On March 12, 2024 it was revealed during the Life Safety Coded surveyor that all of the 15 second magnetic door locks on all of the exit doors fire doors (egress) that would allow individuals to exit the facility during an emergency were not working, and the flashing lights that would alert individuals in event of a fire were not working. The facility started a fire watch on January 5, 2024 and instead of having the requirement of having a…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-05 · 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 reviews and interviews the facility's administration failed to implement, provide and ensure an effective and efficient preventative measures were in place to prevent the neglect and elopement of one resident (Resident #1) out of three sampled residents who displayed exit seeking behaviors. As evidenced by inadequate safety measures that included failure to ensure residents were not able to leave the premise of the facility and failure by staff to implement assigned level of supervision for resident #1 who was a high risk for elopement. These deficient practices enabled resident #1 to exit the facility undetected at 4:24 PM through an electronic gate in the front of the facility on foot on 8/04/25 placing the resident at risk for harm and or injury. There were 191 residents residing in the facility at the time of the survey.The findings included:Record review of the facility's policy titled, Suspected Adult, Disabled Person or Elderly Abuse/Neglect/ Exploitation protocol…

  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 before2025-09-05 · 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 record review and interviews, the facility's quality assurance and assessment committee failed to identify quality concerns to implement effective plans of action related to adequate supervision resulting in repeated deficient practice. The facility's history includes deficient practice for failing to supervise residents resulting in possible accidents. The facility was cited for Free of Accident Hazards, Supervision, Devices, Administration and Quality Assurance and Assessment on July 31, 2025. On 8/04/2025, the facility was negligent and failed to provide adequate supervision and effective services to prevent the elopement of one (Resident #1) out of three sampled residents with exit seeking behaviors, resulting in Resident #1 eloping from the facility at 4:24 PM, through an electronic gate in the front of the facility on foot undetected. These repeated deficient practices have the potential to affect any of the 191 residents residing in the facility.The findings included: Record review of the facility's Quality Assurance Performance Improvement (QAPI) Program Policy 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 · Past Non-Compliance
• Potential for harm · Dcited before2025-07-31 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and records reviewed, the facility failed to ensure one (Resident #72) out of the eleven residents that eat independently had a dignified dining experience. As evidence by during the lunch meal in the dining room Resident # 72 did not receive a meal tray while the table mate had received her meal and had started eating. The findings included: During dining observation on 07/28/2025 there were 11 residents in the dining room, seated with two residents per table. At approximately 11:55 AM when the meal cart arrived staff members distributed the meal trays. Resident #72 was seated with another resident when the meal cart arrived. The resident seated with Resident #72 was served and had started eating but Resident #72 was not served.On 07/28/2025 at 12:22 PM, Staff A, Certified Nursing Assistant (CNA), reported that Resident #72's tray had not been included in the cart, due to an error in the kitchen.A review of the seating arrangements confirmed that Resident #72 was assigned to table #3. This designation is part of the facility's established dining…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-31 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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 Based on observation, interview and record review, the facility failed to provide housekeeping and maintenance services to ensure a sanitary clean homelike environment as evidenced by six resident areas observed unsanitary and in disrepair on the facility's third floor (North Unit and East Unit). The findings include.Observation on 07/28/25 starting at 08:30 AM during the initial resident and room screenings on the facility's 3rd floor North/East Unit revealed: room [ROOM NUMBER]- The wall was water damaged, water noted on the floor under the air conditioner, the base board was detached, and the air condition unit was falling off the wall (Photographic evidence).room [ROOM NUMBER] - Wall damaged on the outside of the room, the hand sanitizer dispenser had been ripped off the wall and the concrete underlayer of the wall visible (Photographic evidence).room [ROOM NUMBER]- Heavily stained bedside chair, the air conditioning unit noted falling off the wall. (Photographic evidence).room [ROOM NUMBER]- The air…

  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 before2025-07-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed provide a safe environment in accordance with the facility's policy related to accident hazards for two vulnerable residents (Resident #10 and Resident #73) out of five sampled residents; as evidenced Resident #10 who is at risk for falls was observed in bed with the right-side floor mat positioned against the wall, presenting a potential safety hazard and an unattended open container with disinfecting wipes with ingredients that pose serious health and safety risks observed on Resident #73's bedside table.The findings include: Resident #10 On 07/18/25 at 09:17 AM during observation Resident #10 in bed, one (1) floor mat on left side facing the bed, one (1) 1 floor mat positioned against the wall on right side (Photographic evidence). Review of the medical records for Resident #10 revealed the resident was admitted to the facility on [DATE]. Clinical diagnoses included but not limited to: Muscle weakness, Bilateral primary osteoarthritis of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-31 · 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 one (Resident #44) out of one resident who has a primary diagnosis of acute respiratory failure. As evidenced by observations of Resident # 41's Nasal Canula not in the resident's nostrils increasing the resident's risk for respiratory distress.The findings include:During an observation on 07/28/2025 at 8:48 AM, revealed Resident # 41's Oxygen (02) running at 2 Liters per minute (lpm) with the via nasal canula (NC) not positioned in the resident's nostrils. The surveyor alerted Certified Nursing Assistant (CNA) to position the NC in the resident's nostril. Staff C revealed Resident #41 is her patient and she checks on the resident frequently during her shift.Observation on 07/30/2025 at 8:51 AM revealed Resident #41 in bed awake, with 02 running at 2 lpm the NC was not in the resident's nostril and was observed in the resident's mouth. The surveyor alerted assigned CNA, (Staff C) who…

  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 before2025-07-31 · 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 review, the facility failed to demonstrate that effective actions were implemented through its Quality Assurance and Performance Improvement (QAPI) program to correct previously identified quality deficiencies under F550 (Resident Rights) related to failing to ensure Resident # 72 had a dignified dining experience, as evidenced by Resident #72 was not provided with a meal tray in a timely manner while her table mate was served and had started eating. The findings included: Review of the facility's survey history revealed during a recertification survey with exit dated 03/15/2024 the facility was cited F550 related to dignity concerns related to an indwelling urinary catheter drainage collection bag that was not fully covered with the privacy bag.During this survey with exit date 07/31/2025, the facility was again cited F550 for failing to ensure dignity during dining related to Resident #72 who was seated at a table for two in the dining room and was not provided with a meal tray while her table mate was served and had started eating. 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-31 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure infection control standards and procedures were followed for two out of two residents (#25 and Resident #201) sampled for tube feeding. As evidenced by enteral feeding caps were noted stored uncovered on Resident #25 bedside chair and Resident #201's enteral feeding tube line open stored with the open end uncapped. The findings include: Resident # 201 Observation on 07/28/2025 at 11:23 AM revealed Resident #201 in bed with eyes closed; the feeding tube was left uncapped leaking on the feeding pump. Dry residue was noted on the pump surface [Photographic evidence]. Record review of Resident # 201 medical records revealed the resident was admitted on [DATE]. Clinical diagnoses include multiple sclerosis and gastrostomy status. Review of physician orders for July 2025 revealed orders for Jevity 1.5 @45 ml x 20 hrs on at 1300 (1:00 PM) off at 0900 (9:00 AM) via Enteral tube every shift. Review of the care plan, reviewed on 05/18/2025…

  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 before2024-03-15 · tag F0835 — failed to run the facility competently — widespread
  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

  Based on interview and record review facility failed to administer in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychological well-being of each resident. This deficiency had the potential to affect 197 residents residing in the facility, staff, and visitors at the time of survey. Cross Reference Event ID # PFKY21 The findings included: Interview with Maintenance Supervisor on 03/15/2024 at 12:33 PM. He stated that the fire alarm was undergoing routine inspections and at one point the fire alarm was not working properly. He stated it followed the normal procedures to submit all documents to the company who oversees repairs. It was repaired but the work was not completed. He stated it happened again and the company came but we realized the work was not completed. He stated the facility administration is trying to get estimates and bids to assess the fire alarm panel replacement or repairs. Interview with Nursing Home Administrator on 03/15/2024 at 12: 45 PM. He stated the building 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-15 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview and record review facility failed to ensure dignity for a one resident (Resident #175) with an indwelling catheter out of 10 residents sampled as evidenced by the resident's urinary drainage collection bag not fully covered. The findings included: On 03/12/2024 at 9:21 AM, Resident#175 was observed seated in a wheelchair in his room. Resident #175 had an indwelling urinary catheter with the drainage collection bag not fully covered by the dignity bag. Resident #175 stated: I prefer the leg bag because it allows me more freedom and privacy. 03/12/2024 at 9:25 AM, Resident #175 was observed in wheelchair in the front of his door outside his room with Staff C, Certified Nursing Assistant (CNA) standing behind him. Staff F was standing nearby told Staff C that it was okay for Resident #175 to go to therapy. The surveyor then brought to Staff F attention that Resident #175's urinary drainage collection bag was not covered with the dignity bag. At that time Staff F requested Staff C to…

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

  Resident Rights 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.

Fines & penalties

$161,110 in federal fines across 2 penalties.

• $42,650 — penalty dated 2025-09-05
• $118,460 — penalty dated 2024-03-15

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

What families pay in FL