Delaney Park Health And Rehabilitation Center
215 Annie Street, Orlando, FL 32806 · Non profit - Other · 89 certified beds · (407) 841-4371 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- lower-than-typical staff turnover (31% vs 45% nationally) — better care continuity
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — 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 (21) — 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
- its independent health-inspection rating is low (2/5)
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 | 2 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 3 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
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating 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.
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 | 7.7% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 10.2% | 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 | 0.0% | 4.6% | 6.5% | check this* — see note marked star below the table |
| 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 | 0.9% | 2.5% | 3.3% | better |
| Long-stay residents on antianxiety or hypnotic medication | 17.5% | 14.4% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.0% | 4.5% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 1.7% | 10.5% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.4% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.6% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 99.6% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 25.8% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 8.9% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.75 | 2.13 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.28 | 1.15 | 1.80 | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
60.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 372 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 62.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 143 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 0.81 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 57% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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 | 60.0%CMS range 54.8–64.3 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.4%CMS range 9.4–14.2 | 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 | 62.9% | 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 | 68.5% | 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 | 51.8% | 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 | 97.7% | 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 | 99.1% | 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 | 94.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.4% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.5% | 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 | 8.4%CMS range 6.0–13.0 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.09 | 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 89 beds and averages 81.6 residents a day — about 92% occupied, or roughly 7 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 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 3.15 hrs/resident/day on weekends vs 3.72 on weekdays — 15% thinner on weekends. RN hours go from 1.06 to 0.67 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 31% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · F2025-07-18 · tag F0882 — widespreadDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, and record review, facility failed to ensure the facility had an Infection Preventionist responsible for the facility's Infection Prevention and Control Program (IPCP) with qualifications and current specialized training to ensure implementation, monitoring and managing the IPCP.Findings:On 7/14/25 at 3:40 PM, the Director of Nursing (DON) stated the Assistant Director of Nursing (ADON) was responsible for overseeing the IPCP. She said the position had been vacant for 3 weeks and she was designated by the Administrator as the Infection Preventionist required to work at least part-time in addition to working full-time as the DON.Review of the Job Description for the ADON included the summary of position as responsible for assisting with developing, organizing, evaluating, and administering of the patient care programs and services of the center; provides staff development education, training, and completes nursing competencies; oversees the IPCP and the Antibiotic Stewardship Program. Essential duties and responsibilities included must maintain Infection…
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 · E2025-07-18 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, and interview, the facility failed to maintain a homelike environment in 30 resident rooms on one of two floors, (100 wing) by failing to maintain ceiling vent covers with a clean and sanitary surface.Findings:Observations of resident rooms on the first floor on 7/14/25 at 2:10 PM, revealed ceiling vent covers with a variance in color over the entire surface area from black to white. The surface also had rust-colored substance around the edges. (photographic evidence obtained)In an interview with the resident representative for resident # 85, she stated she has asked staff to address the unsanitary appearance of the vents because they did not look clean and appeared as if they have a mold-like substance or accumulation of debris on the surface.On 7/15/25 at 10:30 AM, the Maintenance Director stated all the vent covers were the same on the first floor and showed signs of wear and tear from years of use. He stated the vents had been painted black, but the white color and rust color was still visible. Later that same day at 11:07 AM, the Maintenance Director was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-07-18 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure infection control policies and procedures were followed to implement the infection prevention and control plan by failing to initiate enhanced barrier precautions for 24 residents on one of two floors (100 unit), failed to ensure transmission-based isolation was the least restrictive for one of two residents reviewed for transmission-based precautions, (#30); failed to document process surveillance, including identification of pertinent process surveillance from the infection control risk assessment, and failed to follow transmission-based precautions to help prevent the spread of infection on one of two wings, (100 wing) for 2 of 2 residents reviewed for transmission-based precautions (#82, and #30), of a total sample of 34 residents.Findings: 1. On 7/14/25 at 1:00 PM, observations on the second floor (200 wing) revealed approximately 12 residents on enhanced barrier precautions. Personal protective equipment (PPE) was readily…
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 · D2025-07-18 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to notify the physician of a change in resident condition to ensure prompt diagnosis and treatment for 1 of 1 resident reviewed for patient rights, out of a total sample of 34 residents, (#61).Finding:Resident #61 was admitted to the facility from an acute care hospital on 6/28/25 for short term rehabilitation. She had diagnoses that included encounter for orthopedic aftercare, displaced condyle fracture of lower end of right femur, shortness of breath, and interstitial pulmonary disease. Review of the admission Minimum Data Set (MDS) dated [DATE], revealed resident #61 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which was cognitively intact. Resident #61's medical record revealed that on 7/06/25 a daily skilled note was entered by the nurse documenting the resident's complaint of pain and warmth to the right leg, which was her surgical leg. The nurse noted that the resident's legs were swollen, especially the 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 · D2025-07-18 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 one of five residents reviewed for unnecessary drugs did not receive an unnecessary antipsychotic medication with subsequent increase in dose and a diagnosis of schizophrenia without clear documentation to support the indication for use and diagnosis in the medical record, of a total sample of 34 residents, (#68).[NAME], [NAME] (68) Findings:Resident #68 was admitted from an acute care facility on 2/21/25 with diagnoses of hypertension, type 2 diabetes mellitus, unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety.The admission Minimum Data Set assessment dated [DATE] indicated the resident had no potential indicators of psychosis and no behavioral symptoms. The same assessment found the resident did not have any psychotic disorders or schizophrenia. The resident was assessed with severe cognitive impairment. The quarterly assessment dated [DATE] also indicated the resident had…
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 · D2025-07-18 · tag F0627 — isolatedEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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 document/investigate residents who discharged Against Medical Advice (AMA) to ensure the residents were not forced to leave the facility and to provide a safe discharge to the extent possible for 1 out 3 residents sampled for discharge, of a total sample of 34 residents, (#96).Findings: Resident #96 admitted to the facility on [DATE] and her diagnoses included clavicle fracture, abnormal gait, morbid obesity and malaise. Review of the resident's medical record revealed resident #96 had a daughter but the resident was responsible for herself. Review of discharge summaries for both Physical Therapy and Occupational Therapy noted the resident discharged home on 6/16/25. The resident Discharge Summary, nor the Physician's Discharge order was not in the medical record. The medical record did not provide evidence resident #96 safely discharged from the facility. On 7/17/25 at 10:53 AM, the Rehabilitation Director said the resident started therapy on 5/28/25…
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 · D2025-07-18 · 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 ensure that a resident at risk for Deep Vein Thrombosis (DVT) formation was appropriately monitored and treated in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 1 resident reviewed for edema care, of a total sample of 34 residents, (#61). Findings:Resident #61 was admitted to the facility from an acute care hospital on 6/28/25, for short term rehabilitation. She had diagnoses that included encounter for orthopedic aftercare, right leg fracture, shortness of breath, and interstitial pulmonary disease. Review of the admission Minimum Data Set (MDS) dated [DATE], revealed resident #61 had a Brief Interview for Mental Status score of 15 out of 15, which meant she was cognitively intact. The assessment indicated she had a history of hip fracture, a lower extremity impairment on one side, utilized a walker or wheelchair for mobility, and was taking anticoagulants. Resident #61's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-18 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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 provide care and services in accordance with professional standards of practice related to limited range of motion and splinting care, for 1 of 1 resident reviewed for limited range of motion and positioning, of a total sample of 34 residents, (#90). Findings: Resident #90 was admitted to the facility on [DATE] with diagnoses that included stroke, abnormality of gait and mobility, need for assistance with personal care, cognitive communication deficit, vascular dementia, muscle wasting and atrophy, acquired absence of right leg below the knee, and hemiplegia/hemiparesis (one sided paralysis/muscle weakness) affecting the right dominant side. Revision of the Quarterly Minimum Data Set (MDS) dated [DATE] for resident #90, revealed she had a Brief Interview for Mental Status score of 10 out of 15, which indicated moderate cognition. She had no rejection of care behaviors noted and no mood changes. The assessment indicated she had upper…
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 · D2025-07-18 · 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 interview, and record review, the facility failed to maintain medical records that were accurately documented in accordance with professional standards of practice for 1 of 1 resident reviewed for splint care and limited range of motion, of a total of 34 residents, (#90).Findings:Resident #90 was admitted to the facility on [DATE] with diagnoses that included stroke, abnormality of gait and mobility, need for assistance with personal care, cognitive communication deficit, vascular dementia, muscle wasting and atrophy, acquired absence of right leg below the knee, and hemiplegia/hemiparesis (one sided paralysis/weakness) affecting the right dominant side. Revision of the Quarterly Minimum Data Set (MDS) dated [DATE] for resident #90, revealed she had a Brief Interview for Mental Status score of 10 out of 15, which indicated moderate cognition. She had no rejection of care behaviors noted and no mood changes. The assessment indicated the resident had upper extremity impairments bilaterally and lower…
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 · D2025-07-18 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolatedHave 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 observation, interview, and record review, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify an area of systemic non-compliance with the Infection Prevention & Control Program identified by the survey team.Findings: Review of the facility's survey history revealed repeat deficiency concerns for infection prevention and control over the past year. The survey history revealed the facility had a deficiency in infection prevention and control during the 6/05/24 annual survey and again during the current annual survey.On 7/18/25 at 3:14 PM, a joint interview was conducted with the facility's Administrator and Director of Nursing (DON) to discuss the facility's QAPI program. The facility could not show documented evidence they had a Process Improvement Plan (PIP) or current audits in effect for infection prevention and control. The Administrator acknowledged the facility completed a plan of correction for infection prevention based on last year's annual survey results but closed out monitoring of it in January of 2025.Review of 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.
Show the remaining 11 citations
- Potential for harm · E2025-05-09 · tag F0908 — failed to keep essential equipment working — patternKeep all essential equipment working safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure oxygen concentrators were maintained in safe, functional condition for 5 of 8 sampled residents who were oxygen-dependent, of a total sample of 12 residents, (#2, #8, #9, #10, and #11). The facility also failed to ensure that failed or potentially compromised concentrator units were promptly removed from use to avoid placing residents at risk of receiving inadequate oxygen support. Findings: On 5/08/25 at 11:30 AM, resident #2's son reported his mother used oxygen continuously. He identified an oxygen concentrator in her room that displayed a yellow light, and a sticker labeled, FAILED. He stated the equipment should have been working properly and expressed concern that families were left to identify malfunctioning equipment. On 5/08/25 at 1:36 PM, during a telephone interview, resident #1's spouse reported when the resident returned to the facility from a hospital stay in March 2025, the transport company driver informed her the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to follow the physician's order for oxygen (O2) for 1 of 8 residents reviewed for O2 use, of a total sample of 12 residents, (#2). Findings: Review of resident #2's medical record revealed she was readmitted from an acute care hospital on 5/06/25. Her diagnoses included respiratory failure with hypoxia (low levels of O2 in body tissues), shortness of breath, heart failure, chronic obstructive pulmonary disease (COPD) and dementia. Review of resident #2's quarterly Minimum Data Set (MDS) assessment with Assessment Reference Date of 4/07/25 revealed her Brief Interview for Mental Status score was 4 out of 15, which indicated severely impaired cognition. The MDS assessment showed resident #2 was short of breath (SOB) or had trouble breathing when lying flat and she used O2. Review of the Florida Agency for Health Care Administration 5000-3008 Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form dated 5/06/25 revealed resident #2 was admitted to the hospital due to sepsis…
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 before2024-06-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility had a pattern of failing to follow physician prescribed respiratory therapy orders for 1 of 2 residents reviewed for respiratory care, of a total sample of 49 residents, (#10). Findings: On 6/03/24 at 11:55 AM, resident #10's oxygen was set at 3 liters per minute (LPM) but review of the physician's orders showed the order for oxygen (O2) at 5 LPM dated 10/11/22. On 6/03/24 at 10:56 AM, the assigned Registered Nurse (RN) C, checked the order for resident #10's oxygen and confirmed it was for 5 LPM. There was also an order for O2 tubing to be changed weekly and labeled with the date. RN C went to resident #10's room and checked the resident's oxygen concentrator noting it was set for 3 LPM and the O2 tubing was not dated. She stated she had completed medication pass for this resident this morning and was supposed to check the oxygen order at that time, but confirmed she did not do so. When RN C started to change the oxygen level to 5 LPM, as per the order, the resident got very upset and started crying. The 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 · Ecited before2024-06-05 · 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 and interview, the facility failed to store food in the freezer and walk-in refrigerator in accordance with food safety standards to prevent foodborne illness. Findings: On 6/02/24 at 10:00 AM, during the initial kitchen inspection with [NAME] D, the door into the walk-in refrigerator was found to be left open. The walk-in refrigerator temperature was 48 degrees Fahrenheit (F) on the thermometer inside. [NAME] D verified the temperature of the walk-in refrigerator and used her thermometer to measure the temperature of a carton of Mighty Shake stored inside. The temperature of the Mighty Shake was 47 degrees F. [NAME] D acknowledged the temperature was outside the acceptable range and threw away the 9 Mighty Shakes. A few minutes later, in the freezer, an unlabeled, undated, and unsealed bag of 24 sausage patties was observed. The sausage patties were stuck, frozen together and covered with ice crystals. There was also an unlabeled, undated, and unsealed bag of vegetarian burger patties. The approximately 6-8 patties on top, were frozen together in an oval-shaped…
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 · D2024-06-05 · 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 conduct a medication self-administration assessment to ensure safety for 1 of 1 resident reviewed for self-administration of medication, of a total sample of 39 residents, (#74). Findings: Resident # 74 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses including sequelae of cerebral infarction (stroke), anemia, heart failure, diabetes, and constipation. Review of the Minimum Data Set admission assessment with an assessment reference date of 4/29/24 revealed resident #74 had a Brief Interview for Mental Status score of 15 out of 15, which indicated she was cognitively intact. On 6/02/24 at 12:10 PM, resident #74 was observed lying in bed with her spouse sat in a chair at the bedside. A box of refresh eye drops, and a hydrocortisone 1% cream tube were noted on the resident's nightstand. Resident #74's spouse stated he put drops in his wife's eyes when she requested it. He said he applied the hydrocortisone…
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 · D2024-06-05 · tag F0640 — isolatedEncode 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 interview and record review, the facility failed to complete a discharge Minimum Data Set (MDS) Assessment for 1 of 2 residents reviewed for resident assessments, of a total sample of 39 residents, (#69). Findings: Review of resident #69's medical record revealed she was admitted to the facility on [DATE]. Review of a Progress Note dated 1/19/24 revealed resident #69 was discharged home with her daughter and husband. Review of the MDS tab in the medical record did not show a Discharge Assessment was initiated or completed. On 6/05/24 at 3:09 PM, the Clinical Reimbursement Director reviewed resident #69's medical record and said Oh, we are missing a discharge. She explained she, .Normally ran a report at least weekly, but had not run it consistently. She mentioned resident #69's discharge assessment was 124 days overdue and concluded, It was just missed. Chapter 2 of the MDS 3.0 RAI (Resident Assessment Instrument) Manual revealed a Discharge assessment was required for all discharges. The RAI Manual…
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 · D2024-06-05 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure Minimum Data Set (MDS) assessment was accurate for functional ability in regards to eating, vision and dental for 2 of 5 residents reviewed, of a total sample of 39 residents, (#20, and #36). Findings: 1. Resident #20's most recent admission to the facility was on 11/04/23. His diagnoses included muscle wasting, intracerebral hemorrhage, encephalopathy, dysphagia (difficulty swallowing), need for personal assistance with personal care, Parkinson's disease, and protein calorie malnutrition. Review of the resident's quarterly MDS assessment with Assessment Reference Date (ARD) of 5/04/23 revealed Section GG 0130 A for eating was coded 6 which indicated the resident was able to use suitable utensils to bring food/liquids to his mouth and swallow food/liquids placed before the resident. The prior quarterly MDS assessment with ARD date of 2/04/24 revealed Section GG 0130 was coded 1 which meant he was dependent on a helper with eating.…
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 · D2024-06-05 · 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 provide intravenous (IV) care and services according to standards of practice and plan of care for 1 of 2 residents reviewed for IV care, out of a total sample of 39 residents, (#55). Findings: Review of resident #55's medical record revealed she was readmitted to the facility on [DATE] with diagnoses including osteomyelitis of the left ankle and foot, type 2 diabetes and pneumonia. Review of the Admission/readmit: Data Collection and Baseline Care Plan dated 5/07/24 revealed resident #55 had IV access on the left arm. Review of resident #55's admission Minimum Data Set (MDS) assessment with Assessment Reference Date of 5/19/24 revealed she had a Brief Interview for Mental Status score of 7 out of 15 which indicated her cognition was severely impaired. The assessment noted no rejection of care necessary to obtain goals for her health and well-being. The MDS assessment indicated resident #55 had an IV access and was receiving IV…
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 before2024-06-05 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement Transmission Based precautions to prevent the spread of infection for 1 of 1 resident reviewed for isolation precautions, (#192), of a total sample of 39 residents. Findings: Review of resident #192's medical record revealed she was admitted to the facility on [DATE]. Her diagnoses included resistance to Vancomycin, acute renal failure, and Escherichia coli. The resident's Medical Certification for Medical Long Term Care Services and Patient Transfer form dated 5/12/24 listed infection control issues of Vancomycin-resistant enterococci (VRE) in the urine and Extended-spectrum beta-lactamase (ESBL) of the blood and contact Isolation Precautions. Vancomycin-resistant enterococci is a type of bacteria that is resistant to Vancomycin, a powerful antibiotic, (retrieved from www.webmd.com on 6/14/24). Extended-spectrum beta-lactamases (ESBL) are enzymes or chemicals produced by germs like certain bacteria. These enzymes make bacterial…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-05-25 · 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, record review, and interview, the facility failed to ensure food packages were re-sealed to prevent contamination and ensure supplements were discarded timely to prevent foodborne illnesses. Findings 1. On 5/22/23 at approximately 10:23 AM, the initial kitchen inspection was conducted. A large bag of corn flakes, less than half full was noted in the Dry Storage room. The bag had been previously opened and the staff used a sliver of plastic wrap as a make-shift twist tie in attempt to re-seal the bag. A previously opened bag of egg noodles and 2 bags of elbow macaroni were re-secured in a similar fashion, with a sliver of plastic wrap. The Registered Dietitian stated this was not the proper way to store/re-seal the bags. The facility's policy and procedure for food storage noted, Dry goods may be placed in plastic bags and sealed or placed in plastic containers. There was a large rectangular plastic container on the bottom shelf in the Dry Storage room that was used for bulk storage of corn starch. This container was covered with a a green lid and corn starch…
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 · D2023-05-25 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to follow the menu for pureed foods and pureed portion sizes. Findings: Review of the facility's menu revealed the lunch meal for 5/22/23 consisted of Curry Chicken, Steamed Carrots, Pearled Rice, Dinner Roll, Pudding Parfait, Coffee or Tea and Beverage of Choice. On 5/22/23 at 12:02 PM, the lunch tray line was observed. The food holding temperatures were taken and staff began to plate meals. The therapeutic menu noted residents on pureed diet would receive approximately 1 ounce portion of pureed bread. Observation of the steam table and trayline noted there was no pureed bread. The cook said she did not make pureed bread but gave no explanation why the pureed bread was not prepared. Dietary Aide A stated they had already sent out the pureed meals. At 12:20 PM, the morning cook and the evening cook determined that a #10 scoop was used to plate the pureed curry chicken. The menu noted that a #8 scoop should have been used for the curry chicken. The #10 scoop was smaller indicating the kitchen staff gave less…
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.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ORLANDO REHABILITATION GROUP , INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 100% | since 11/15/2010 |
| DUDLEY, NATE | Individual | CORPORATE OFFICER | — | since 07/01/2014 |
| GARNER, ALVIN | Individual | CORPORATE OFFICER | — | since 07/01/2014 |
| JAFFE, HOWARD | Individual | CORPORATE OFFICER | — | since 07/01/2014 |
| MULLEN, ANN | Individual | CORPORATE OFFICER | — | since 07/01/2014 |
| ROMBOLD, LORI | Individual | CORPORATE OFFICER | — | since 07/01/2014 |
| ANU HEALTH MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/16/2025 |
| CONSULTING SUPPORT SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/16/2025 |
| FACILITY SUPPORT COMPANY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/25/2025 |
| KANE FINANCIAL SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/25/2025 |
| MINES, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/25/2020 |
| WILKERSON, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/16/2019 |
| SELECT REHABILITATION, LLC | Organization | ADP OF THE SNF | — | since 08/19/2016 |
CMS files one row per role, so the 20 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.
6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $145K 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 2024. 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, FY2024). 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 105791. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-18, 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.