No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Ocala Oaks Rehabilitation Center

3930 E Silver Springs Blvd, Ocala, FL 34470 · For profit - Corporation · 120 certified beds · (352) 236-2626 Medicare & Medicaid certified

Call the home — (352) 236-2626 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Aug 2025
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • 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
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (19) — 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.

4/5
CMS overall
4 of 5
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

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Vip Care<0.1 mi
4011 E Silver Springs Blvd
Pharmacy
3529 E Silver Springs Blvd · (352) 622-5298 · Call to confirm hours
Grocery
Publix0.7 mi
3450 E Silver Springs Blvd · (352) 671-3443 · Call to confirm hours
Park
Place of worship
4200 E Silver Springs Blvd · (352) 629-2413

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 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased4.6%8.7%15.4%better
Long-stay residents who lose too much weight6.4%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms9.3%4.6%6.5%worse
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.6%2.5%3.3%typical
Long-stay residents whose ability to walk worsened2.0%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication10.2%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers3.1%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control4.0%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table11.1%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%94.7%79.4%better
Short-stay residents rehospitalized after admission18.4%26.1%22.6%better
Short-stay residents with an outpatient ER visit4.0%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.282.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.421.151.80better

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

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

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

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

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

40.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 148 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

40.8%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
61.2%U.S. median 56.6%
Met the expected recovery
0.58U.S. median 0.31
Therapy hours / resident / day
0.24hours / resident / day
Physical therapy
0.26hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 61.2% 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 85 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 0.58 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF40.8%CMS range 34.1–47.951.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 9.1–15.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge61.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge61.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge48.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.6%CMS range 4.0–10.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.051.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.44
RN hours/ resident / day
0.93
LPN hours/ resident / day
2.20
Aide hours/ resident / day
3.57
Total nurse hours/ resident / day
0.31
RN hoursweekends
34.1%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 111.4 residents a day — about 93% occupied, or roughly 9 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 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.34 hrs/resident/day on weekends vs 3.67 on weekdays — 9% thinner on weekends. RN hours go from 0.50 to 0.31 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%. 1 administrator has left in the past year.

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

Inspection trend

7
deficiencies at the latest standard inspection (2025-08-14)
8
at the previous standard inspection (2024-05-16)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · Dcited before2025-08-14 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure residents received the Notice of Medicare Non-Coverage (NOMNC) (Form CMS-10123) within the required two day time frame for 2 of 3 residents, Residents #115 and #116, reviewed for non-coverage notification. Findings include:Review of Resident #115's Notice of Medicare Non-Coverage (NOMNC) (Form CMS-10123) documented the Last Covered day for Part A Services as 6/17/2025. The form was signed on 6/16/2025 by Resident #115. Review of Resident #116's Notice of NOMNC documented the Last Covered day of Part A Services as 3/4/2025 the form was signed on 3/5/2025 by Resident #116's representative. During an interview on 8/14/2025 at 8:48 AM the Administrator stated, The Social Services Director sent the NOMNC for Resident #116 to the resident's representative's email to sign and the facility didn't receive it back until 3/5/2025 so that is why the signature is dated a day after the resident's discharge. A request was made to view the email, no email was provided. During an interview on 8/13/2025 at 11:20 AM, the Social…

    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 · D2025-08-14 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to report an allegation of misappropriation of residents' property, medications. Findings include:During an interview on 08/12/2025 at 8:30 AM the Interim Administrator (ADM) stated, The former supervisor was terminated for improper disposition of medications. When asked if the allegation was reported to the Agency For Health Care Administration (AHCA) the ADM stated, I felt a report should have been filed but one had not been. I contacted the previous Administrator related to the incident and was told that she did not feel it rose to the level of any type of reportable offense as the medications were all discontinued medications. Two employees were termed for the offense as one was the alleged perpetrator, and the other had knowledge of the activity of improper disposition of medications.Review of written statement dated 3/31/2025 written by Staff E, Licensed Practical Nurse (LPN) read, I put the medications from the residents in a bag on Saturday night/Sunday morning. I left them at the church on Sunday around 8:10AM. I…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure physician's orders were followed as prescribed for 1 of 2 residents, Resident #9 sampled for wound care, and failed to ensure the administration of intravenous antibiotics per the physician orders for 1 of 2 residents, Resident #114, for residents being administered intravenous therapy. Findings include: 1) During an observation on 8/11/2025 at 9:46 AM Resident #9 was lying in bed. There was a white bordered foam dressing (a wound dressing of an advanced, all-in-one wound dressing that features a central, absorbent foam pad surrounded by a self-adhesive, waterproof breathable border) on Resident #9's lower left leg. The wound dressing was not dated for the date it was changed and did not have the initials of the nurse who provided the wound care. The upper right corner of the dressing was peeling off. (Photographic evidence obtained) During an interview on 8/11/2025 at 9:46 AM Resident #9 stated, I have not had wound care done for four days now. Review of Resident #9’s physician order dated 6/7/2025…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, staff interviews, the facility failed to ensure oxygen was administered per the physician order for 2 of 5 residents, Residents #18 and #54, sampled for respiratory care and failed to ensure nebulizer masks were in a plastic storage bags when not in use for 1 of 3 residents, Resident #82. Findings include: 1. During an observation on 08/11/25 at 09:20 AM Resident #54 had oxygen administered at via nasal cannula (NC) at 3 liters per minute. Review of Resident #54 medical record documented the resident was admitted to the facility on [DATE] with diagnosis to include acute respiratory failure with hypoxia, chronic obstructive pulmonary disease with (acute) exacerbation, non-ST elevation myocardial infarction, and dependence on supplemental oxygen Review of the physician order for Resident #54, dated 02/19/2025 at 08:50 AM read, “Oxygen via nasal cannula 2 liter per minute (lpm) continuously every shift.” During an interview on 08/13/25 at 12:02 PM the DON stated, “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
  • Potential for harm · D2025-08-14 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews, the facility failed to ensure kitchen equipment was maintained in a safe and clean operating manner and failed to ensure the cleaning schedule was followed for the kitchen and food service equipment.Findings include:During an observation of the kitchen on 08/11/25 beginning at 09:10 AM with the Food Service Director (FSD) the table mounted can opener was observed to have a large amount of brown, black, and rust colored buildup of dirt and food debris. The stove's catch drawer had a heavy buildup of black and brown food particles.During a tour of the kitchen on 08/13/25 beginning at 06:20 AM with the Administrator and FSD, an observation of an additional counter can opener showed the can open had a brown/black discoloration of a clump-like build up visible on the blade. The prep table was observed to have a large area of food debris on the base of the prep table. A stainless-steel counter had a sticky residue around the coffee equipment.During an interview on 8/11/2025 at 9:30 AM the Food Service Director verified the buildup 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-14 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to implement a performance improvement plan related to an identified concern by failing to monitor the effectiveness of the plan when it was identified license staff were aware of and/or were removing residents' medications from the facility and donating them to a local organization.Findings include:Review of written statement dated 3/31/2025 written by Staff E, Licensed Practical Nurse (LPN) read, I put the medications from the residents in a bag on Saturday night/Sunday morning. I left them at the church on Sunday around 8:10AM. I tried to scan them on the computer and didn't scan. Pharmacy told me long time ago if a medication does not scan the facility can destroy them or the pharmacy can. I cut off the names and facility and I pulled the sticker. I have never donated any meds that were able be scanned.Review of written statement dated 4/2/2025 written by Staff E, LPN, read, I donated medications from the facility and asked permission before I did it from the previous DON [Director of Nursing]. I have donated medications…

    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 · D2025-08-14 · tag F0925 — failed to control pests — isolated
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure an effective pest control program.Findings include:During a tour of the kitchen on 08/13/25 at 6:45 AM with the Administrator (ADM) and Food Service Director (FSD), a counter mounted can opener was observed for cleanliness at which time a live insect was observed running around the blade of the can opener. A live insect was observed on the utility care, one was observed on the coffee counter, and one was observed on the ceiling strip on the exterior back wall.During an interview on 08/13/2025 the ADM and FSD confirmed the pest sightings in the dietary department/kitchen. The FSD stated, There have been roaches sighted in the kitchen on numerous occasions in the past couple of weeks and notification has been placed on the pest log.Review of documentation provided by the facility from [Name of the Pest Control Company] dated 5/13/25 titled, [Name of Pest Control Company] Elimination Division read, Location: Kitchen area interior. Findings: Cockroaches noted during service. Cockroaches in kitchen above…

    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 · Ecited before2024-05-16 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure residents received the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) within the required time frame for 2 of 3 residents reviewed for beneficiary notification, Residents #18 and #25. Findings include: Review of Resident #18's CMS (Centers for Medicare and Medicaid Services) Form 20052- SNF Beneficiary Notification Review showed it read, Medicare Part A Skilled Services Episode Start Date: 11/27/2023. Last covered day of Part A Service: 1/4/2024. How was the Medicare Part A Service Termination/Discharge determined? The facility/provider initiated the discharge from Medicare Part A Services when benefit days were not exhausted. 1. Was a SNF ABN, Form CMS-10055 provided to the resident? Other: Explain: Sign copy could not be located for January [2024] discharged date. Review of Resident #18's SNF ABN signed by the resident on 5/15/2024 showed that it read, Beginning on [blank], you may have to pay out of pocket for this care if you do not have other insurance that may cover these costs.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-16 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 that physician orders following the pharmacist's recommendation were implemented for 1 of 5 residents reviewed for unnecessary medications, Resident #38. Findings include: Review of Resident #38's admission record showed the resident was most recently admitted on [DATE] with diagnoses including heart failure, dementia, rheumatoid arthritis, anxiety disorder, poly osteoarthritis, chronic pain, major depressive disorder, shortness of breath, atrial flutter, rhabdomyolysis, and localized edema. Review of Resident #38's physician orders for Resident #38 showed an order that read, Cyclobenzaprine HCl [Hydrochloric acid] Tablet 5 MG [milligram]. Start Date: 10/25/2023. Give 1 tablet by mouth every 8 (eight) hours as needed for Muscle spasms. Review of Resident #38's MAR for administration of Cyclobenzaprine HCl 5 mg tablet revealed the resident had not received the medication from 2/1/2024 through 4/30/2024. The resident received…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-05-16 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure medical records were complete and accurate for 3 of 12 residents reviewed for insulin administration, Residents #39, #46, and #62, and 1 of 3 residents reviewed for peripherally inserted central catheter (PICC) dressing changes, Resident #107. Findings include: 1. Review of Resident #39's admission record showed the resident was admitted to the facility most recently on 2/11/2023 with diagnoses including chronic respiratory failure, type 2 diabetes mellitus, heart failure and chronic obstructive pulmonary disease. Review of Resident #39's Medication Administration Record for March 2024 showed staff documented code 10 (Insulin not required) on 3/1/2024, 3/4/2024, 3/5/2024, 3/6/2024, 3/7/2024, 3/8/2024, 3/11/2024, 3/12/2024, 3/13/2024, 3/14/2024, 3/15/2024, 3/18/2024, 3/19/2024, 3/20/2024, 3/21/2024, 3/22/2024, 3/25/2024, 3/26/2024, 3/27/2024, 3/28/2024, 3/29/2024 and 3/30/2024, and coded 11 (Hold individual med [medication]) on 3/16/2024 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2024-05-16 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 transmit resident assessment data within 14 days after completion of assessment for 2 of 5 residents reviewed for discharge status, Residents #99, #71. Findings include: Review of Resident #99's admission record showed the resident was admitted to the facility on [DATE] with diagnoses including arthritis, postprocedural septic shock, type 2 diabetes mellitus, hypertension, atrial fibrillation, chronic kidney disease, and ileostomy status, and discharged home on [DATE]. Review of Resident #99's MDS (Minimum Data Set) Discharge Return Not Anticipated Assessment completed on 12/21/2023 showed it was not submitted to CMS (Centers for Medicare and Medicaid Services). Review of Resident #71's admission record showed the resident was admitted to the facility on [DATE] with diagnoses including anemia, congestive heart failure, atrial fibrillation, and acute cholecystitis, and was discharged home on 1/5/2024. Review of Resident #71's MDS Discharge Return 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-16 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents received appropriate restorative services for 1 of 3 residents reviewed for limited range of motion, Resident #86. Findings include: During an observation on 5/13/2024 at 11:30 AM, Resident #86 was lying in bed. Resident #86's left arm was against her chest in a bent position, and the resident was not using her left arm. During an interview on 5/13/2024 at 11:33 AM, Resident#86 stated, I want therapy, I haven't had therapy in months. When asked what her goal for therapy was, she stated, I want to go home. Review of Resident #86's admission record showed the last admission date of 10/27/2022 with diagnoses that included cerebral infarction, hemiplegia unspecified affecting unspecified side; weakness; and other reduced mobility. During an interview on 5/14/2024 at 9:27 AM, Staff L, Rehabilitation Certified Nursing Assistant (RCNA), stated, [Resident #86's name] is receiving occupational therapy, but I'm not sure if physical…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-16 · 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 residents received respiratory care services as prescribed for 1 of 6 residents reviewed for respiratory care, Resident #51. Findings include: During an observation on 5/13/2024 at 9:28 AM, Resident #51 was lying in bed with a nasal cannula intact in her nares and the oxygen concentrator was running at three and a half liters per minute (3.5 L/min) (Photographic evidence obtained). During an observation on 5/13/2024 at 2:24 PM, Resident #51 was lying in bed with a nasal cannula intact in her nares and the oxygen concentrator was running at 3.5 L/min. During an observation on 5/14/2024 at 8:05 AM, Resident #51 was lying in bed eating breakfast. The nasal cannula was intact in her nares and the oxygen concentrator was running at 3.5 L/min. Review of Resident #51's admission record showed the resident was admitted on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease (COPD), chronic peripheral venous insufficiency,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-16 · tag F0732 — isolated
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure the posted nurse staffing data included the required information. Findings include: During an observation while conducting the initial tour of the facility on 5/13/2024 at 9:00 AM, the nursing staffing data dated 5/13/2024 did not contain the total number and actual hours worked per shift for licensed and unlicensed staff responsible for resident care. During an interview on 5/15/2024 at 8:00 AM, the Administrator confirmed the missing information and stated, The night shift is responsible for the federal posting for staffing. The Staff Coordinator will review the posting for accuracy when she gets here. During an interview on 5/15/2024 at 3:02 PM, the Director of Nursing (DON) stated, The night shift charge nurse is responsible for filling out and posting the nursing staffing for the day, before the end of her shift (7 AM). The day shift starts at 7 AM. During an interview on 5/15/2024 at 3:10 PM, the Staff Development Coordinator stated, The night shift supervisor (11 PM to 7 AM) is responsible for filling out 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-16 · 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

    4. During an observation on 5/13/2024 at 12:23 PM, Resident #314 had his urinal, with drops of urine, on his meal table (Photographic evidence obtained). During an observation on 5/13/2024 at 12:44 PM, Staff F, CNA, placed Resident #314's food tray on the table next to his urinal. During an interview on 5/13/2024 at 12:44 PM, Resident #314 stated, The urinal fell on the floor and I picked it up and put it on the table. I would rather it be on my bedside table. During an interview on 5/16/2024 at 7:38 AM, Staff G, LPN, stated, The urinal should not be on a table next to a food tray. If I saw that, I would move the urinal, clean the table, and get a new tray for the resident. Based on observation, interview, and record review, the facility failed to ensure staff used appropriate PPE (Personal Protective Equipment) during direct care for 3 of 17 residents reviewed for transmission-based precautions, Residents #60, #92, and #105, and failed to ensure staff followed infection control practice standard for 1 of 7 residents reviewed for dining review, Resident #314, to help prevent 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-01-12 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 4 of 5 medication carts. Findings include: During an observation of Medication Cart #1 (200 West) on [DATE] at 9:07 AM with Staff A, License Practical Nurse (LPN), there were one opened Levemir Insulin Pen with no opened and expiration dates and one expired Prednisolone AC 1% eye drops with an opened date of [DATE]. During an interview on [DATE] at 9:10 AM, Staff A, LPN, stated that the medication should be labeled with opened date and expiration date and the expired mediation should be discarded. During an observation of Medication Cart #2 (200 East) on [DATE] at 9:12 AM with Staff D, LPN, there were two opened Insulin Glargine Pens with no opened and expiration dates, one opened Lispro Solution Pen with no opened and expiration dates, one opened bottle of Dorzolamide HCI 2% eye drops with no…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-01-12 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain accurate and complete medical records for 3 of 5 residents with central venous catheter device, Residents #57, #88, and #101, and for 1 of 3 residents reviewed for gastric tube, Resident #64. Findings include: 1. Review of Resident #64's medical records revealed the resident was admitted on [DATE] with the diagnoses including unspecified fracture of right femur, disorganized schizophrenia, type 2 diabetes mellitus without complications, chronic pulmonary edema, muscle weakness, other abnormalities of gait and mobility, unspecified lack of coordination, psoriasis, essential hypertension, hyperlipidemia, methicillin resistant staphylococcus aureus infection, encounter for other specified surgical aftercare, personal history of COVID-19, small plaque parapsoriasis, anemia, morbid obesity due to excess calories, bipolar disorder, major depressive disorder, recurrent, mild, generalized anxiety disorder, non-pressure chronic ulcer 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents received care and services for central venous access devices in accordance with professional standards of practice for 1 of 5 reviewed residents with a central venous access device, Resident #57. Findings include: Review of Resident #57's medical records revealed the resident was admitted on [DATE] with the diagnoses including infection following procedure, deep incisional surgical site, personal history of Methicillin Resistant Staphylococcus Aureus infection, and adult failure to thrive. Review of IV Company Patient Information sheet for Resident #57 revealed a peripherally inserted central catheter (PICC) line had been inserted on 11/9/2022. Review of Omnicare Central Vascular Access Devise (CVAD)- Physician/ Licensed Independent Practitioner (LIP) Order Sheet dated 11/9/2022 and 12/14/2022 for Resident #57 reads, Flushing/Locking orders: Use SASH [Saline/Administer medication/Saline/Heparin] Technique OR SAS…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration and followed the accepted infection control practice standards during IV medication administration to prevent the possible development and transmission of communicable diseases and infections. Findings include: During an observation on 1/11/2023 at 8:40 AM, Staff B, Licensed Practical Nurse (LPN), opened the medication cart and prepared medications for Resident #11. Staff B entered Resident #11's room, handed the medication cup to the resident and verified the resident took the medications. Staff B did not perform hand hygiene. Staff B, then exited the room and opened the medication cart to prepare medications for Resident #42. Staff B entered Resident #42's room, administered the medications and provided a water cup with straw to the resident. During an interview on 1/11/2023 at 8:57 AM, Staff B, LPN, stated, I know I did not sanitize my hands between residents. I should have. During an observation of IV (intravenous) medication…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SOVEREIGN HEALTHCARE HOLDINGS — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.7+0.3 vs chain
Health inspection 3 of 53.2-0.2 vs chain
Staffing 3 of 53.1-0.1 vs chain
Quality measures 5 of 54.5+0.5 vs chain
The other 42 homes this chain runs (chain average 3.7★, per CMS)
1 of 5Abercorn Rehabilitation CenterSavannah, GA 1 of 5Sunnybrook Rehabilitation CenterRaleigh, NC 2 of 5Lake Worth Rehabilitation CenterLake Worth, FL 2 of 5Monroe Rehabilitation CenterMonroe, NC 2 of 5Pinellas Point Nursing And Rehab CenterSaint Petersburg, FL 2 of 5Riviera Palms Rehabilitation CenterPalmetto, FL 2 of 5Rocky Mount Rehabilitation CenterRocky Mount, NC 3 of 5Bayshore Pointe Nursing And Rehab CenterTampa, FL 3 of 5Lanier Rehabilitation CenterJacksonville, FL 3 of 5Lincolnton Rehabilitation CenterLincolnton, NC 3 of 5Medicana Nursing And Rehab CenterLake Worth, FL 3 of 5Port Orange Nursing And Rehab CenterPort Orange, FL 3 of 5Raleigh Rehabilitation CenterRaleigh, NC 3 of 5Tiffany Hall Nursing And Rehab CenterPort Saint Lucie, FL 3 of 5Treyburn Rehabilitation CenterDurham, NC 4 of 5Atlantic Shores Nursing And Rehab CenterMelbourne, FL 4 of 5Bonifay Nursing And Rehab CenterBonifay, FL 4 of 5Boulevard Rehabilitation CenterBoynton Beach, FL 4 of 5Braden River Rehabilitation Center LLCBradenton, FL 4 of 5Hunters Creek Nursing And Rehab CenterOrlando, FL 4 of 5Metro West Nursing And Rehab CenterOrlando, FL 4 of 5Northdale Rehabilitation CenterTampa, FL 4 of 5Orange City Nursing And Rehab CenterDebary, FL 4 of 5Pettigrew Rehabilitation CenterDurham, NC 4 of 5Royal Oaks Nursing And Rehab CenterTitusville, FL 4 of 5Sarasota Point Rehabilitation CenterSarasota, FL 4 of 5Silas Creek Rehabilitation CenterWinston-Salem, NC 4 of 5Warner Robins Rehabilitation CenterWarner Robins, GA 4 of 5Zebulon Rehabilitation CenterZebulon, NC 5 of 5Arbor Trail Rehab And Skilled Nursing CenterInverness, FL 5 of 5Boynton Beach Rehabilitation CenterBoynton Beach, FL 5 of 5Crestview Rehabilitation Center, LLCCrestview, FL 5 of 5Cypress Pointe Rehabilitation CenterWilmington, NC 5 of 5Fort Walton Rehabilitation Center, LLCFort Walton Beach, FL 5 of 5Jacksonville Nursing And Rehab CenterJacksonville, FL 5 of 5Macclenny Nursing And Rehab CenterMacclenny, FL 5 of 5Marianna Health And RehabilitationMarianna, FL 5 of 5Moultrie Creek Nursing And Rehab CenterSaint Augustine, FL 5 of 5Palm City Nursing & Rehab CenterPalm City, FL 5 of 5Parkview Rehabilitation Center At Winter ParkWinter Park, FL

Showing 40 of 42; lowest-rated first.

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 / managerTypeRoleSince
SOVEREIGN HEALTHCARE HOLDINGS LLCOrganizationDIRECT OWNERSHIP INTERESTsince 06/01/2012
CRONQUIST 2015 FAMILY TROrganizationINDIRECT OWNERSHIP INTERESTsince 12/31/2015
JOHN J NOTERMANN BUSINESS TROrganizationINDIRECT OWNERSHIP INTERESTsince 11/12/2017
MANGINE, JOHNIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/25/2012
3930, LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 06/01/2012
HEALTH SERVICES PROPERTIES LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 06/01/2012
ORIX REAL ESTATE CAPITAL LLCOrganization5% OR GREATER SECURITY INTERESTsince 06/01/2012
CHERY, DAWNIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 06/08/2017
GERRITY, HENRYIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 04/01/2014
KAAR, SUSANIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 10/01/2003
SOUTHERN HEALTHCARE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/05/2026
CLEVINGER, SIDNEYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
CRONQUIST, ROYCEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2018
FOSTER, PATRICIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/13/2025
MELTON, DONALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/15/2009
NOTERMANN, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
NOTERMANN, BRENDAIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 01/05/2026
FORVIS MAZARS LLPOrganizationADP OF THE SNFsince 06/01/2012
SOVEREIGN HEALTHCARE DISBURSEMENTS LLCOrganizationADP OF THE SNFsince 06/01/2012
KELLY, MICHELLEIndividualADP OF THE SNFsince 02/01/2018

CMS files one row per role, so the 33 rows in the source record cover these 20 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.

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

Follow the money — this home’s finances

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

$12.2M
Net patient revenuemost recent cost report
+0.6%
Operating marginrevenue minus expenses
$587K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 65%Medicare 13%Other / private 22%

This home reported $587K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$323per resident / day
operating cost
$9,820per month
≈ monthly operating cost
$325per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105724. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-14, 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.

What to do next