Courtyards Of Orlando Care Center And Rehab
1900 Mercy Drive, Orlando, FL 32808 · For profit - Limited Liability company · 120 certified beds · (407) 299-5404 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has citations for mishandling residents’ money or property (F0568, F0569)
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
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 | 1 of 5 |
| Long-stay residentspeople who live here | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
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 | 3.9% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 7.7% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better 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 | 1.3% | 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 | 4.0% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 1.3% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 10.3% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.3% | 4.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 2.0% | 10.5% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Short-stay residents who newly got an antipsychotic medication | 2.9% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 98.8% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 18.3% | 26.1% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.6% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.58 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.83 | 1.15 | 1.80 | better |
‡ 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.
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.
35.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 27 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 90.0% 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 80 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 0.40 therapist hours per resident per day in 2026Q1 — more than 69% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% 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 | 35.0%CMS range 19.5–54.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.3%CMS range 8.6–18.7 | 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 | 90.0% | 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 | 87.5% | 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 | 75.0% | 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 | 97.4% | 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 | 73.1% | 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 | not 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 stay | 0.8% | 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 | 3.4% | 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 | 7.2%CMS range 4.4–12.2 | 7.1% | Oct 2023–Sep 2024 | no different from 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 115.2 residents a day — about 96% occupied, or roughly 5 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 3.55 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 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 3.18 hrs/resident/day on weekends vs 3.70 on weekdays — 14% thinner on weekends. RN hours go from 0.34 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 52% is about the same as 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 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.
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.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · Ecited before2025-08-14 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to follow physician orders for medication administration for 5 of 5 residents reviewed for medication administration, of a total sample of 45 residents, (#112, #3, #94, #5, and #67).Findings:1. Resident #112 was admitted to the facility on [DATE] with diagnoses including esophagitis (inflammation of the esophagus) without bleeding, other psychoactive substance dependence, hypertension, nicotine dependence, chronic pain syndrome, opioid dependency, and anxiety. Review of the resident's care plan initiated 6/26/25 revealed a focus related to antianxiety medication use with an intervention to administer medication as prescribed. During a phone interview with the resident on 8/13/25 at 11:17 AM, he stated he had missed medications while at the facility. Review of resident #112's physician orders revealed an order for Xanax 1 milligram (mg) to be given twice a day for anxiety with a start date of 6/26/25 and end date of 7/10/25. Review of the Electronic…
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 · E2025-08-14 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 facility policy review, the facility failed to ensure proper handling and food safety practices when staff failed to sanitize a food thermometer between checking food items, and ice bath calibration. The deficient practice had the potential to affect all residents who received a regular or puree diet by increasing the risk of cross-contamination and foodborne illness. Findings: On 8/13/25 at 11:10 AM, kitchen preparation for the lunch service began with cook G and Dietitian F present. At 11:37 AM, cook G used a food thermometer to check food temperatures of the prepared foods held on the steam table line prior to plating the food for service. The cook did not sanitize the food thermometer prior to placing the tip of the thermometer inside the pureed garlic bread, the regular garlic bread, and then the ziti bake. The cook said she cleans the thermometer between each food items. She acknowledged she did not sanitize the thermometer prior to checking the food items, nor had she cleaned it between the food items. The cook explained it was her…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-14 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop an individualized care plan with interventions to address the resident's preference and needs for administration of oxygen for a resident who smokes, for 1 of 1 resident reviewed for respiratory care, of a total sample of 45 residents, (#40).Findings: Resident #40 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD), tachycardia (fast heartbeat), and mood disorder. Review of the quarterly Minimum Data Det, (MDS) assessment dated [DATE], revealed the resident was assessed to be cognitively intact. On 8/11/25 at 10:54 AM, resident #40 was sitting in bed wearing a nasal cannula connected to an oxygen concentrator set to deliver oxygen at 5 liters per minute (LPM). Resident# 40 explained he liked to go out to smoke and felt he was comfortable without oxygen during that time. He continued that he had been on 5 LPM of oxygen for a few weeks, but explained he needed it more when…
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 before2025-08-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
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, medical record review, and facility policy review, the facility failed to provide the necessary assistance with Activities of Daily Living (ADL) for one of three residents reviewed for ADL care, of a total sample of 45 residents, (#75). This failure resulted in resident #75 not receiving timely and adequate support for personal grooming and hygiene, which could contribute to a decline in the resident's physical and psychosocial well-being. Findings: On 8/11/25 at 11:40 AM, resident #75 was awake, lying in his bed. His fingernails on both hands were elongated with brown debris visible under the nails. The resident stated he spoke Creole. He was able to answer yes/no questions appropriately, and able to gesture. Resident #75 indicated he preferred to keep his fingernails long by shaking his head to gesture no and showing his elongated fingernails. On 8/12/25 at 9:25 AM, resident #75's fingernails on both hands continued to be elongated with brown debris visible under 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 · D2025-08-14 · tag F0778 — isolatedHelp the resident make transportation arrangements to and from radiology services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to assist in making transportation arrangements to diagnostic and physician's appointments for 1 out of 1 resident reviewed for choices, of a total sample of 45 residents, (#97).Findings: A review of the electronic medical record revealed resident # 97 was admitted to the facility on [DATE] with diagnoses which included acute embolism and thrombosis (blood clot) of other specified deep vein of the right lower extremity, paraplegia (partial paralysis), hyperlipidemia, and unspecified heart transplant status. Resident #97 's quarterly Minimum Data Set with an assessment reference date of 7/12/25 revealed the resident scored 15 out of 15 on the Brief Interview for Mental Status which indicated he was cognitively intact. A review of resident #97 's plan of care revealed he had the potential for complications related to an alteration in cardiac function due to his diagnoses, heart transplant status initiated on 4/23/25. Interventions included labs 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.
- Potential for harm · D2024-08-19 · tag F0569 — isolatedNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide a refund, and a final accounting of the resident's funds deposited with the facility within 30 days of the resident's discharge, for 1 of 3 residents sampled for personal funds, (#1). Resident #1 was admitted to the facility on [DATE] and discharged from the facility to the community on 6/27/24. Review of the facility's admission Agreement signed by resident #1's financial power of attorney on 1/13/22 revealed the facility would refund any deposits held by them within thirty days from the resident's date of discharge. Review of the facility's Policy and Procedure Manual in the section regarding Resident Personal Funds, issued 4/01/22 and revised 1/01/24, under the Procedure section item 6. Within thirty (30) days of a resident's discharge or death, the facility will refund the resident's personal funds and provide a final accounting of those funds to the resident, the resident's representative or to the resident's estate, as applicable. In 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 · E2024-03-21 · tag F0623 — patternProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to provide written Notification of Transfer or Discharge forms to the Ombudsman for 4 of 6 residents reviewed for hospitalizations, out of a total sample of 45 residents, (#42, #79, #18, and #21). Findings: 1. Resident #42 was admitted to the facility on [DATE] with diagnoses to include unspecified dementia, major depressive disorder, end stage renal disease and hypertension. The Minimum Data Set Annual Assessment noted resident #42 scored 3 on the Brief Interview for Mental Status evaluation which indicated the resident's cognition was severely impaired. A Nursing Home to Hospital Transfer Form dated 07/07/2023 revealed resident #42 had generalized weakness, and had a fall. Review of the medical record revealed resident #42 was in the hospital from [DATE] and returned to the facility on [DATE]. On 3/21/2024 at 10:18 AM, the Social Service Director (SSD) was unable to provide documentation of notice to the state Ombudsman of resident #42's emergent…
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 · D2024-03-21 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
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 1 of 1 resident was evaluated for safe self-administration of medications and failed to obtain a physician order for self-administration of medication for 1 of 1 resident reviewed for choices, of a total sample of 45 residents, (#47). Findings: Resident #47 was admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, diabetes type II, obstructive sleep apnea, atrial fibrillation, acute on chronic diastolic (congestive) heart failure, hypertension, and major depressive disorder. The resident's quarterly Minimum Data Set assessment with Assessment Reference Date of 12/12/23 revealed the resident's cognition was intact with a Brief Interview For Mental Status score of 14 out of 15. Observations on 3/18/24 at 11:52 AM, and on 3/19/24 at 10:04 AM showed resident # 47 lying in bed on her back. On the resident's tray table…
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 · D2024-03-21 · tag F0568 — isolatedProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to send quarterly personal fund account balance statements to resident's responsible party for 1 of 7 sampled residents reviewed for personal funds, out of a total sample of 45 residents, (#71). Findings: Resident #71 was admitted to the facility on [DATE] and re-admitted on [DATE] for long term care. Her diagnoses included cerebral infarction, attention to gastrostomy, pressure ulcer- sacral region, dementia, epilepsy, seizures, sepsis, hypertensive heart, and chronic kidney disease. A review of the census information revealed resident #71's payor source was Medicaid as of 8/28/23. A review of the medical record revealed admission Minimum Data Set (MDS) assessment dated [DATE] which showed her Brief Interview for Mental Status score of 00 which meant she was severely cognitively impaired. Her quarterly MDS assessments dated 11/15/23 and 2/15/24 showed she was rarely/never understood, had both long term and short-term memory problems, and had severely…
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 · D2024-03-21 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure documentation for code status Do Not Resuscitate (DNR) matched the clinical records for 1 of 1 resident reviewed for Advance Directives, of a total sample of 45 residents, (#47). Findings: Resident #47 was admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, diabetes type II, obstructive sleep apnea, atrial fibrillation, acute on chronic diastolic (congestive) heart failure, hypertension, and major depressive disorder. Review of the resident's clinical records revealed a physician order dated 3/16/24 for Full Code status. The Electronic Medical Record (EMR) banner noted full code status. Scanned documents revealed a canary yellow form State of Florida Do Not Resuscitate Order dated 9/11/23, signed by the resident, and physician on 9/11/23. Review of the DNR Binder located at the nurses' station on the B Wing revealed a State…
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 12 citations
- Potential for harm · Dcited before2024-03-21 · 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 observation, interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments accurately reflected vision and edentulous (without teeth) status for 1 of 3 residents reviewed for vision and dental services, of a total sample of 45 residents, (#69). Findings: Review of resident #69's medical record revealed he was originally admitted to the facility on [DATE] and readmitted from an acute care hospital on 4/07/22. His diagnoses included legal blindness and type 2 diabetes. Review of resident #69's MDS Annual assessment with Assessment Reference Date (ARD) of 3/05/24 revealed a Brief Interview for Mental Status score of 14 out of 15 which indicated intact cognition. On 3/18/24 at 4:25 PM, resident #69 stated he previously had upper and lower dentures, but he lost them approximately 2 years ago. He stated he was recently measured and was still waiting for his new dentures. During the conversation, his mouth opened to reveal he had no upper or lower teeth. Resident #69 stated he…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-21 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids 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 a midline dressing was changed as per professional guidelines to prevent the potential for infection, and failed to obtain physician's order for a midline dressing for 1 of 1 resident of a total sample of 45 residents, (#107). A midline catheter is a small tube used to give treatments and to take blood samples. The catheter is inserted into a vein in your arm .can stay in place for up to 30 days. (Retrieved on 3/22/24 from drugs.com) Findings: Resident #107 was admitted to the facility on [DATE] with diagnoses which included diabetes type II, anemia in chronic kidney disease, hypertension, Alzheimer's Disease, major depressive disorder, generalized anxiety disorders, and bipolar disorder. Observations on 3/18/24 at 4:17 PM, 3/19/24 at 9:44 AM, and on 3/20/24 at 9:38 AM, showed resident #107 reclining in her bed watching television. A midline was noted to the resident's left upper arm, and the dressing was dated 3/13/24. Resident…
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 · D2024-03-21 · 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 obtain a physician order for Oxygen (O2) therapy for 1 of 1 resident reviewed for respiratory care, of a total sample of 45 residents, (#47). Findings: Resident #47 was admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, diabetes type II, obstructive sleep apnea, atrial fibrillation, acute on chronic diastolic (congestive) heart failure, hypertension, and major depressive disorder. Review of the resident's quarterly Minimum Data Set assessment dated [DATE] revealed the resident's cognition was intact with a Brief Interview for Mental Status (BIMS) score of 14 out of 15. The assessment indicated the resident was on oxygen therapy. Observations on 3/18/24 at 11:52 AM, and on 3/19/24 at 9:50 AM showed resident #47 reclining in bed, with O2 infusing via nasal cannula at 6 liters per minute (LPM). The resident stated she…
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 · D2024-03-21 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure 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 interview, and record review, the facility failed to ensure pharmacy recommendations were acted upon in a timely manner for 1 of 5 residents reviewed for unnecessary medications, of a total sample of 45 residents, (#47). Findings Resident #47 was admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, diabetes type II, atrial fibrillation, acute on chronic diastolic (congestive) heart failure, hypertension, and major depressive disorder. Pharmacy recommendations for resident #47 on 9/18/23 indicated the resident was currently taking Digoxin and recommended that an apical pulse be obtained prior to administration of the medication. The physician/prescriber agreed to the recommendation on 10/16/23. A second pharmacy recommendation dated 12/15/23 addressed the same concern and read, Obtain an apical pulse prior to administration of the medication. The physician/prescriber response dated…
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 before2022-05-19 · tag F0694 — patternProvide for the safe, appropriate administration of IV fluids 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 provide intravenous (IV) care and services according to standards of practice and plan of care for 2 of 2 residents reviewed for IV care out of 50 total sampled residents, (#103 and #109). Findings: 1. Review of resident #103's medical record revealed he was admitted to the facility on [DATE] with diagnoses including osteomyelitis and infective myositis to the left hip. Review of the Minimum Data Set (MDS) admission assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 15 which indicated resident #103 was cognitively intact. Review of the admission Nursing Comprehensive Evaluation form dated 4/19/22 showed resident #103 was admitted to the facility with a Peripherally Inserted Central Catheter (PICC) line to the right upper arm for administration of antibiotics intravenously. Review of the medical record for resident #103 revealed a physician's order dated 4/19/22 that read, Change PICC line dressing to right…
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 before2022-05-19 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were not crushed prior to administration according to manufacturers' and pharmacy instructions for 1 of 9 residents reviewed for medication administration, (#76); and failed to obtain appropriate dosage orders for medications for 2 of 5 residents reviewed for unnecessary medications, (#96 & #38) of a total sample of 50 residents. Findings: 1. Review of the medical record revealed resident #76 was admitted to the facility on [DATE] with diagnoses that included vascular dementia, stroke, anxiety and seizures. The Minimum Data Set (MDS) Quarterly assessment dated [DATE], showed resident #76 had memory problems and severely impaired cognition. The MDS assessment revealed she required extensive assistance from one staff person for eating and had a mechanically altered diet. Resident #76 had a care plan for nutritional risk related to difficulty with swallowing. Interventions included staff to give medications as ordered,…
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 before2022-05-19 · 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 interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments accurately reflected health conditions for 1 of 3 residents reviewed for falls (#314), use of a monitoring device for 1 of 2 residents reviewed for mood and behaviors (#94), and edentulous status for 1 of 2 residents reviewed for dental services (#7), out of a total sample of 50 residents. Findings: 1. Review of resident #314's medical record revealed she was admitted to the facility on [DATE] with diagnoses that included dementia, type 2 diabetes, and failure to thrive. Review of the medical record for resident #314 revealed a SBAR [Situation, Background, Assessment, Recommendation] Communication Form dated 4/13/22 which listed a change of condition for falls. A Nursing Home to Hospital Transfer Form dated 4/13/22 included the reason for transfer was a fall. Resident #314's MDS Discharge assessment with assessment reference date (ARD) of 4/13/22 revealed in Section J - Health Conditions, question J1800 related…
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 before2022-05-19 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to develop a resident-centered care plan for use of a right hand palm guard by a dependent resident and personal hygiene and bathing needs for the right hand for 1 of 7 residents reviewed for activities of daily living (ADL) care out of a total sample of 50 residents, (#106). Findings: Resident #106's medical record revealed she was admitted to the facility on [DATE]. Her diagnoses and conditions included a cerebral vascular accident (CVA) or stroke, functional range of motion limitations in both upper extremities, osteoarthritis, dementia, and legal blindness. On 5/16/22 at 4:40 PM, resident #106 had both arms and hands positioned close to her upper chest. She wore a soft right hand palm guard with a sheepskin closure. The outer fabric of the palm guard was discolored with gray residue. The portion of the palm splint located snuggly between her thumb and index finger was tangled. The fingers on both hands were curled inward toward her palms.…
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 before2022-05-19 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide personal hygiene care for 1 of 7 dependent residents reviewed for activities of daily living (ADL) care of a total of 50 sampled residents, (#106) . Findings: Review of resident #106 medical record revealed she was a long-term care resident who was admitted to the facility on [DATE]. Her diagnoses and conditions included cerebral vascular accident (CVA) or stroke, non-Alzheimer's dementia, legal blindness, osteoarthritis, and functional range of motion limitations in both upper extremities. On 5/16/22 at 4:40 PM, resident #106's elbows were bent at her waist with both arms and hands positioned against her chest. The fingers on both hands were curled into her palms. A soft, palm guard with sheepskin closure to her right hand was discolored and soiled. On 5/17/22 at 10:59 AM, resident #106 was in bed and did not respond when greeted or when asked a question. The resident's right hand palm guard had crusty yellowish residue between…
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 · D2022-05-19 · 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 observation, interview, and record review, the facility failed to address the wheelchair positioning needs of a resident with limited range of motion for 1 of 2 residents reviewed for positioning of a total of sample of 50 residents, (#22). Findings: Resident #22's medical record revealed he was admitted to the facility on [DATE]. His diagnoses and conditions included a cerebral vascular accident (CVA) or stroke, right intractability hemorrhage (ICH) with right cranioplasty and external ventricular drain (EVD) surgical interventions, left sided flaccid paralysis, functional range of motion of right upper and lower extremities,difficulty walking, and muscle weakness. Resident #22's Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form revealed he was hospitalized from [DATE] to 5/25/21 prior to the facility admission. He was initially admitted to the facility for services that included nursing, physical therapy, and occupation therapy. On 5/16/22 at 11:30 AM, resident #22…
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 · D2022-05-19 · tag F0791 — failed to provide routine dental services — isolatedProvide or obtain dental services for each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to refer a resident with lost upper and lower dentures for dental services in a timely manner, and failed to conduct a reassessment for appropriate diet texture for 1 of 2 residents reviewed for dental services of a total sample of 50 residents, (#7). Findings: The medical record for resident #7 revealed she was admitted to the facility on [DATE]. Her diagnoses included type 2 diabetes, pulmonary hypertension, chronic kidney disease, and dementia. Business office records indicated the resident's payor source was Medicaid as of 11/02/2020. On 5/16/22 at 12:56 PM, resident #7 smiled when greeted. Her open-mouthed smile revealed she had no upper or lower teeth. On 5/17/22 at 12:39 PM, resident #7 prepared to eat lunch. She smiled and was noted to be edentulous. There were no dentures or denture cup on her nightstand or overbed table. A thick slice of ham on her plate measured about 5 inches by 6 inches, and the other foods on the plate were 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.
- Potential for harm · D2022-05-19 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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 ensure the medical record was complete for 1 of 1 resident reviewed for edema, of a total sample of 50 residents, (#32). Findings: Review of the medical record revealed resident #32 was admitted to the facility on [DATE] with diagnoses that included muscle weakness, dementia, hypertension and depressive disorder. On 5/16/22 at 11:00 AM, resident #32's lower legs were wrapped in orange, self-adhesive bandages. The left leg bandage was torn and white gauze was visible under the edges. The resident's skin was shiny on his left lower leg in the area that showed through the large hole in the bandage. The resident stated someone applied the bandages to his legs several weeks before, but he was unable to recall exactly when they were applied or who applied them. Resident #32 also had long, thickened, yellowish toenails on both his feet. The nails on both big toes curled over the front of his toes and pointed downward. Resident #32 stated he…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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 FL SNF TRUST — 10 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 | 2 of 5 | 3.2 | -1.2 vs chain |
| Health inspection | 3 of 5 | 2.6 | +0.4 vs chain |
| Staffing | 3 of 5 | 3.2 | -0.2 vs chain |
| Quality measures | 1 of 5 | 4.4 | -3.4 vs chain |
The other 9 homes this chain runs (chain average 3.2★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| COURTYARDS NURSING HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 08/01/2023 |
| FL MASTER OPCO HOLDCO II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 08/01/2023 |
| FL SNF TRUST I | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 08/01/2023 |
| FL SNF TRUST II | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 08/01/2023 |
| CRUZ-PIZARRO, NAIHOMI | Individual | W-2 MANAGING EMPLOYEE | — | since 08/01/2023 |
| ELLENBOGEN, MOSS | Individual | CORPORATE OFFICER | — | since 08/01/2023 |
4 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.
About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $10K 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
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 105431. 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.