Bridgewater Park Health & Rehabilitation Center
9280 South West 81st Ct, Ocala, FL 34481 · For profit - Limited Liability company · 120 certified beds · (765) 664-5400 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 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 — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 2.6% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.0% | 5.5% | 5.4% | check this* — see note marked star below the table |
| Long-stay residents with a catheter left in their bladder | 2.6% | 0.3% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 0.4% | 4.6% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 4.7% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 5.7% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 30.3% | 14.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.6% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 26.3% | 10.5% | 21.2% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 7.9% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.4% | 1.5% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 92.6% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 26.7% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 11.8% | 9.1% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.65 | 2.13 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 0.54 | 1.15 | 1.80 | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
66.5% 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 687 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 79.4% 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 160 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 0.62 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 66.5%CMS range 62.7–70.0 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.4%CMS range 7.4–11.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 79.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 78.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 76.2% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 81.8% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.6% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 10.0%CMS range 7.4–12.9 | 7.1% | Oct 2023–Sep 2024 | worse than U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.12 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 116.4 residents a day — about 97% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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 4.41 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 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 3.91 hrs/resident/day on weekends vs 4.60 on weekdays — 15% thinner on weekends. RN hours go from 0.47 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 34% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
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.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · F2026-03-05 · tag F0801 — widespreadEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure staff hired in the position of Dietary Manager had obtained the required qualifications to serve as Dietary Manager of the facility.Findings include: During an interview on 3/2/2026 beginning at 9:22 AM, Staff A, Dietary Manager, stated he was employed by the facility as the Dietary Manager. Review of personnel records for Staff A, Dietary Manager, revealed the Dietary Manager had high school education and had worked as the facility Dietary Manager since September 2025. Staff A's records did not show documentation indicating Staff A had completed a course of study in food safety and management by no later than October 1, 2023.During interview on 3/3/2026 beginning at 12:13 PM, Staff A, Dietary Manager, stated that he was not qualified as a Certified Dietary Manager. He stated that he had no other certifications or credentials related to kitchen management. He confirmed that he had obtained a high school diploma and had worked as a Dietary Manager in another state.During an interview on 3/3/2026 at 1:50 PM, the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-05 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents Minimum Data Set (MDS) assessments were accurate for 1 of 3 residents reviewed for behavioral health (Resident #131).Findings include:Review of Resident #131's admission record showed the resident was admitted on [DATE] with diagnoses to include major depressive disorder (onset date of 2/20/2026).Review of Resident #131's admission MDS dated [DATE] did not show depression documented as a diagnosis under Section I. Active Diagnoses.Review of Resident #131's physician order dated 2/20/2026 read, Bupropion HCl [Hydrochloride] ER [Extended Release] Tablet Extended Release 24-hour 300 mg [milligram], Give 1 tablet by mouth one time a day for depression.Review of Resident #131's physician order dated 2/21/2026 read, Sertraline HCl 100 mg Tablet, Give 2 tablet by mouth one time a day for depression.Review of Resident #131's Medication Administration Record (MAR) for February 2026 for administration of Bupropion showed the medication was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-05 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to coordinate Preadmission Screening and Resident Review (PASRR) for the residents with newly evident or possible serious mental disorder for 3 of 7 residents reviewed for PASRR (Residents #7, #10, and #131).Findings include: 1) Review of Resident #7's admission record showed the resident was admitted on [DATE] with diagnoses to include delusional disorders (onset date of 7/24/2025); unspecified dementia, unspecified severity, with other behavioral disturbance (onset date of 5/16/2025); and mild cognitive impairment of uncertain or unknown etiology (onset date of 5/16/2025). Review of Resident #7's Level I PASRR dated 5/16/2025 showed no diagnosis of mental illness or suspected mental illness documented under section I. PASRR Screen Decision-Making. Further review of the PASRR read, Section IV: PASRR Screen Completion. Individual may be admitted to a Nursing Facility (check one of the following: [checked box] No diagnosis or suspicion of Serious Mental…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-05 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure staff dated the wound dressing for 1 of 2 residents reviewed for skin integrity (Resident #15), failed to ensure physician-ordered weights were obtained for 1 of 6 residents reviewed for medication management (Resident #15), and failed to ensure staff followed physician-ordered parameters for administering blood glucose medications for 1 of 6 residents reviewed for medication management (Resident #66).Findings include:1) During an observation on 3/2/2026 at 9:14 AM, Resident #15's left shin wound was covered with a bandage. There was no date on the dressing.Review of Resident #15's physician order dated 2/3/2026 read, Cleanse left lower shin skin tear with NS [normal saline], place one single layer xeroform, cover with dry dressing one time a day for skin tear.During an observation on 3/4/2026 at 11:12 AM, Resident #15's left shin wound was covered with a bandage. There was no date on the dressing.During an interview on 3/4/2026 at 12:15 PM, the Assistant Director of Nursing (ADON) confirmed that the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-05 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to monitor weights for residents who were at nutritional risk for 2 of 4 residents reviewed for weight loss (Residents #63 and #88).Findings include:1) Review of Resident #63's physician order dated 2/16/2026 read, Obtain Weight Daily x [times] 3 Days every day shift for 3 Days.Review of Resident #63's physician order dated 2/19/2026 read, Obtain weight daily x 3 days every day shift for 3 Days.Review of Resident #63's physician order dated 2/25/2026 read, Daily weights x 7 days in the morning for weight monitoring for 7 days.Review of Resident #63's Treatment Administration Record for February 2026 for obtaining weights showed no entry on 2/15/2026, code 12 (not applicable) on 2/16/2026, NA (not applicable) on 2/17/2026, and code 12 on 2/19/2026, and 2/20/2026. Review of Resident #63's Weight Summary showed weights documented as 111.4 pounds on 2/14/2026, 104.4 pounds on 2/24/2026, and 105.4 pounds on 3/3/2025. There were no other weights documented for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure residents received oxygen as ordered by physician for 1 of 4 residents reviewed for oxygen therapy (Resident #106).Findings include:During an observation on 3/2/2026 at 9:34 AM, Resident #106 was sitting in her wheelchair in her room. No oxygen was being administered. There was a portable oxygen concentrator in the room against the wall near the door.During an interview on 3/2/2026 at 9:34 AM, Resident #106 stated, The concentrator is not mine. It was in the room when I first arrived.During an observation on 3/2/2026 at 2:37 PM, Resident #106 was participating in therapy, with no oxygen being administered at the time of observation.During an observation on 3/3/2026 at 8:24 AM, Resident #106 was sitting up in bed. No oxygen was being administered and there was no portable oxygen concentrator in the resident's room.During an observation on 3/3/2026 at 2:13 PM, Resident #106 was in bed. There was no oxygen being administered and no oxygen concentrator in the resident's room.During an interview on 3/3/2026…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-05 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a PRN (as needed) psychotropic medication order had limit in duration and was clinically appropriate for 1 of 5 residents reviewed for unnecessary medications (Resident #10).Findings include:Review of Resident #10's admission record showed the resident was initially admitted on [DATE] and readmitted on [DATE] with diagnoses to include generalized anxiety disorder, and mild single episode major depressive disorder.Review of Resident #10's physician order dated 2/23/2026 read, Alprazolam Oral Tablet 0.25 mg [milligram] (Alprazolam), Give 1 tablet by mouth every 24 hours as needed for anxiety. The order reflected a start date of 2/23/2026 with an indefinite end date.Review of Resident #10's Medication Administration Record for February 2026 and March 2026 for administration of Alprazolam showed the resident was administered the medication on 2/23/2026 at 1:41 PM, 2/28/2026 at 12:53 PM, and 3/3/2026 at 2:11 AM.During an interview on 3/3/2026 at 1:07…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-05 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were stored and labeled in accordance with accepted professional principles in 2 of 4 units.Findings include: 1) During an observation on 3/2/2026 at 10:14 AM, Resident #134 was not in his room. There was an intravenous infusion pole in the room with an infusion bag of Daptomycin connected to the intravenous tubing that was not labeled with time and date (Photographic evidence obtained). During an observation on 3/2/2026 at 10:45 AM, Staff D, Licensed Practical Nurse (LPN), confirmed the intravenous infusion bag nor the intravenous tubing were labeled with time and date. Review of Resident #134's physician order dated 2/26/2026 read, Daptomycin Intravenous Solution Reconstituted 500 MG [milligram] (Daptomycin), Use 1000 mg intravenously one time a day for MRSA [Methicillin-resistant Staphylococcus aureus] (wound in back) until 3/16/2026 23:59 [11:59 PM]. During an interview on 3/2/2026 at 10:45 AM, Staff D, LPN, stated, The tubing needs to be dated. I do not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-12-02 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents received medications as ordered by physician for 1 of 3 residents reviewed, Resident #2. Findings include: Review of Resident #2's admission record showed the resident was admitted on [DATE] with the diagnoses including muscle weakness, abnormalities of gait and mobility, and need for assistance with personal care. Review of Resident #2's physician order dated 7/11/2024 read, Milk of Magnesia [MOM] Suspension 400 MG [milligram]/5 ML [milliliter], Give 30 ml by mouth every 12 hours as needed for constipation daily if no BM [Bowel Movement] for 2 days. Review of Resident #2's Medication Administration Record (MAR) for July 2024 showed no entries documented on 7/11/2024 through 7/18/2024 for administration of Milk of Magnesia with the start date of 7/11/2024 and discontinuation date of 7/18/2024. Review of Resident #2's physician order dated 7/11/2024 read, Bisacodyl Suppository 10 mg (Bisacodyl), Insert 1 suppository rectally every 24…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-09-06 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 accuracy of the minimum data set for 1 of 4 residents reviewed for skin conditions, Resident #106. Findings include: During an observation on 9/3/2024 at 9:05 AM, Resident #106 was lying in bed, with tubular stretch net bandage with dressing on her right lower leg. During an interview on 9/3/2024 at 9:05 AM, Resident #106 stated, I came to the facility with wounds. I have one on my bottom and on my right leg. Review of Resident #106's physician order dated 8/12/2024 read, Cleanse wound to Right lower ext [extremity] with NS [Normal Saline], apply calcium alginate, medi honey and foam dressing daily, every day shift for wound. Review of Resident #106's physician order dated 8/12/2024 read, Cleanse buttock with NSS [Normal Saline Solution] apply medi honey and cover with foam dressing every day shift for buttock wound. Review of Resident #106's Minimum Data Set (MDS) titled admission Medicare 5 day dated 8/15/2024 showed no skin condition documented under Section M- Skin Conditions. During an interview…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · D2024-09-06 · tag F0645 — isolatedPASARR 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 record review and interview, the facility failed to ensure residents who were diagnosed with possible serious mental disorder were referred for Level II Preadmission Screening and Resident Review (PASARR) evaluation and determination for 1 of 3 residents reviewed for PASARR, Resident #38. Findings include: Review of Resident #38's admission record showed the resident was initially admitted on [DATE] with diagnoses that included other bipolar disorder (onset date 1/2/2024). Review of Resident #38's Level I PASARR dated 12/28/2023 showed no entries in Section I- PASRR Screen Decision-Making under mental illness or suspected mental illness. Review of Resident #38's clinical records failed to show documentation Resident #38 had been referred for a Level II PASARR evaluation following the diagnosis of other bipolar disorder on 1/2/2024. During an interview on 9/6/2024 at 8:09 AM, the Director of Nursing confirmed that Resident #38 had not been referred for a Level II PASARR after she was identified with a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-09-06 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure residents received care and services in accordance with professional standards of practice for PICC (Peripherally Inserted Central Catheter) access devices for 2 of 6 residents reviewed with a central venous access device (CVAD), Resident #212 and Resident #215, and for 1 of 3 residents reviewed for pain management, Resident #92. Findings include: 1) During an observation on 9/3/2024 at 9:18 AM, Resident #212's PICC line was visible in left upper arm. There was a transparent dressing dated 9/1/2024 over top of gauze securing PICC, and the insertion site was not visible (Photograph evidence obtained). During an observation on 9/3/2024 at 12:02 PM, Resident #215's PICC line was visible in left upper arm. There was a transparent dressing dated 9/1/2024 over top of gauze securing PICC, and the insertion site was not visible During an observation on 9/4/2024 at 12:40 PM, Resident #215's PICC line was visible in left upper arm. There was a transparent dressing dated 9/1/2024 over top of gauze securing PICC,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-09-06 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
6) During an observation on 9/3/2024 at 9:35 AM, there were three pills in a medication cup on the bedside table in Resident #75's room. During an interview on 9/3/2024 at 9:35 AM, Resident #75 stated, It is aspirin, my probiotic and iron pill. I cannot take it on an empty stomach, so I take it after breakfast. During an interview on 9/5/2024 at 8:43 AM, with the Director of Nursing stated, Medication should not be at resident's bedside. Residents need an order for self administration of medication and an assessment of their capability. Medication would need to be stored in the first drawer which has a lock to secure medication kept in the resident's room. Review of the facility policy and procedure titled Medication Storage with the last review date of 1/11/2024 read, Policy: It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and /or medication rooms according to the manufacture's recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation and security.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-09-06 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 food was safely stored, covered, labeled, or discarded in the walk-in and reach-in coolers in the areas of the main and satellite kitchens. Findings include: During an observation while conducting the initial walk-through tour of the kitchen on 9/3/2024 at 9:06 AM with the Kitchen Manager, there were bulk raw tomatoes with the tomatoes having a black and white areas, and one opened large partially covered container of boiled eggs in the walk-in cooler. There were one container of puree food without an identifying label or date, one container of ground beef patties with no identifying label or date, two open containers of whole milk without an open date, and one container of sour cream with a use by date of 9/1/24 in the reach-in cooler in the main kitchen. There were two flats of raw shell eggs stored directly over the whole milk individual containers without a protective barrier between the shelves in the satellite kitchen reach-in cooler. During an interview on 9/3/2024 at 9:20 AM, the Kitchen…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-09-06 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure staff used personal protective equipment (PPE) while providing services to 1 of 3 residents reviewed for isolation precautions, Resident #96, to prevent the possible spread of infection and communicable disease. Findings include: During an observation on 9/5/2024 at 1:40 PM, Staff D, Dietary Aide, entered Resident #96's room with lunch tray in her hands without donning PPE. There were personal protective equipment and signage for transmission-based precaution-contact isolation posted on the door to Resident #96's room. During an interview on 9/5/2024 at 1:40 PM, Staff D, Dietary Aide, stated, I delivered tray to [Resident #96's name] room and I did not use PPE when entering the room. I should have followed the contact precaution signage. Review of Resident #96's physician order dated 8/5/2024, read, Contact precautions for c diff [Clostridioides difficile] every shift for C-Diff until 8/10/2024 23:59 [11:59 PM]. Review of Resident #96's physician order dated 8/30/2024 read, Obtain stool sample for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-05-04 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were securely stored in 3 of 4 Halls in the rooms of Resident #41, Resident #55, Resident #324, and Resident #164 (Photographic evidence obtained). Findings include: 1. During an observation of Resident #55's room on 5/1/2023 at 9:53AM, there was an Aluterol Inhaler on top of the resident's bedside table. No nursing staff was present in the room. Review of Resident #55's physician orders revealed no orders for self-administration of medications. During an interview on 5/1/2023 at 9:53 AM, Resident #55 stated, The nurse left the inhaler here but will be right back to pick it up. 2. During an observation of Resident #324's room on 5/1/2023 at 10:07 AM, there were one opened bottle of Nystatin topical powder and Timolol Maleate Ophthalmic Solution 0.5% (eye drops) on the resident's bedside table. During an interview on 5/1/2023 at 10:07 AM, Resident #324 stated, Those medications are mine. I administer them myself. I have…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-05-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 residents received respiratory care services consistent with professional standards of practice for 3 of 7 residents reviewed for oxygen administration, Residents #62, #68, and #265 (Photographic evidence obtained). Findings include: 1. During an observation on 5/1/2023 at 1:00 PM, Resident #68 was lying in bed, being administered oxygen via nasal cannula. The oxygen concentrator was set to 3.5 liters per minute. During an observation on 5/2/2023 at 8:14 AM, Resident #68 was lying in bed, being administered oxygen via nasal cannula. The oxygen concentrator was set to 3 liters per minute. Review of Resident #68's admission record revealed the resident was admitted on [DATE] with diagnoses including chronic diastolic (congestive) heart failure, chronic obstructive pulmonary disease (COPD) with (acute) exacerbation, other asthma, peripheral vascular disease, and hypertensive heart disease with heart failure. Review of Resident #68's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2023-05-04 · tag F0848 — widespreadProvide a neutral and fair arbitration process and agree to arbitrator and venue.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to ensure the arbitration agreements provided for the selection of a venue convenient to both parties for 3 of 3 reviewed residents, Residents #114, #115 and #166. Findings include: Review of the facility's Voluntary Binding Arbitration Agreements presented to Resident #114 on 5/1/2023, presented to Resident #115 on 5/1/2023 and presented to Resident #166 on 5/2/2023 failed to show the arbitration agreement provided for the selection of a venue convenient to both parties. During an interview on 5/2/2023 at 9:00 AM, the Administrator confirmed the facility arbitration agreements presented to Residents #114, #115 and #166 did not contain information related to selection of a venue convenient to both parties.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to TLC MANAGEMENT — 20 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.8 | +0.2 vs chain |
| Health inspection | 3 of 5 | 3.3 | -0.3 vs chain |
| Staffing | 3 of 5 | 3.5 | -0.5 vs chain |
| Quality measures | 5 of 5 | 4.7 | +0.3 vs chain |
The other 19 homes this chain runs (chain average 3.8★, 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 / manager | Type | Role | Since |
|---|---|---|---|
| GIBSON, CULLEN | Individual | DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | since 06/28/2017 |
| OTT, DWIGHT | Individual | DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | since 06/28/2017 |
| OTT, GARY | Individual | DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | since 06/28/2017 |
| OTT, RYAN | Individual | DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | since 06/28/2017 |
| TENDER LOVING CARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/10/2025 |
| CLEVINGER, SIDNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/15/2014 |
| WANCZYK, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/07/2022 |
CMS files one row per role, so the 18 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 106115. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-05, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.