Guardian Care Nursing & Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

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

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

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

47.6% 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 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.7% 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 21 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 120 beds and averages 91.0 residents a day — about 76% occupied, or roughly 29 beds typically open. It usually has some room. 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 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.25 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 3.25 hrs/resident/day on weekends vs 3.44 on weekdays — 6% thinner on weekends. RN hours go from 0.63 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 79% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · F2025-03-12 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review, and staff interview, the facility failed to submit the Payroll Based Journal (PBJ) for the 4th quarter in the fiscal year (FY) 2024. Findings: Review of the Centers for Medicare and Medicaid Services (CMS) PBJ Staffing data report Certification and Survey Provider Enhanced Reports (CASPER Report 1705D) revealed no facility staffing data was submitted for the period of July 1,2024 to September 30, 2024 (FY Quarter 4 2024). On 3/12/25 at 5:08 PM, the Administrator acknowledged the facility was supposed to submit the PBJ staffing data and stated she was aware it had not been submitted for Quarter 4 of 2024. She explained that at that time there was a glitch in the system, and due to turnover in their Human Resources department it had not been submitted.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to complete a Pre admission Screening And Resident Review (PASARR) Level I Screen for 5 of 6 residents reviewed for PASARR that were later identified with a possible Serious Mental Illness (SMI), of a total sample of 34 residents, (#20, #42, #72, #28, and #75). Findings: 1. Review of the medical record revealed resident #20, a [AGE] year old female was admitted to the facility from an acute care hospital with diagnoses that included lack of coordination, ulcer of esophagus, hypertension, cerebral infarction (stroke), hemiplegia/hemiparesis (paralysis), major depressive disorder, unspecified psychosis, and anxiety disorder. The most recent Minimum Data Set (MDS) Quarterly Assessment with an Assessment Reference Date (ARD) of 12/29/24 noted during the look-back periods, resident #20 scored 9 out of 15 on the Brief Interview for Mental Status (BIMS) that indicated she was severely cognitively impaired. The assessment documented 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, and interview, the facility failed to store food in accordance with professional standards for food service safety, which had the potential to affect all residents who ate meals prepared in the facility's kitchen. Findings: On 3/09/25 at 9:50 AM, during the initial kitchen tour with the morning (AM) cook M, it was noted the walk-in refrigerator temperature was not written on the temperature log for today or yesterday. [NAME] M acknowledged the temperatures were not on the log and explained she was about to enter the temperature for today. In the walk-in there was a half-full bag of shredded cheese that did not have the date it was opened. There was also an unsealed, open to air, 3/4 full plastic package of sliced meat and a resealed half full plastic package of sliced deli meat which contained approximately 15 slices. Both packages were unlabeled and did not have a date to indicate what date the package was opened. There was also a previously opened package of Parmesan cheese with a manufacturer's use-by date of 2/11/25 (26 days prior). A plastic container of…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to ensure the Quality Assessment & Assurance (QAA) / Quality Assurance and Performance Improvement (QAPI) committee conducted performance improvement activities to ensure prior improvement measures were sustained. Findings: Review of the QAPI plan effective 5/27/24 revealed the facility would use a thorough and highly organized/structured root-cause analysis approach to determine if and how identified problems may be caused or exacerbated by the way care and services were organized or delivered. The systemic actions would look comprehensively across all involved systems to prevent future events and promote sustained improvement. The facility would monitor the effectiveness of performance improvement activities to ensure that improvements were sustained. The facility had a deficiency cited at F689 during the previous recertification survey conducted 7/24/23 through 7/29/23. The facility was cited due to failure to prevent a cognitively impaired resident from exiting the facility unsupervised, and failing to provide adequate…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 proof of consent, refusal, or medical contraindication for pneumococcal vaccine for 3 of 5 residents reviewed for immunizations, of a total sample of 34 residents, (#20, #9, and #59). Findings: 1. Resident #20 was admitted to the facility on [DATE]. Review of her medical record revealed no documentation of consents, refusals, or medical contraindications for the pneumococcal vaccine. 2. Resident #9 was admitted to the facility on [DATE]. Review of her medical record revealed no documentation of consents, refusals, or medical contraindications for the pneumococcal vaccine. 3. Resident #59 was admitted to the facility on [DATE]. Review of his medical record revealed no documentation of consents, refusals, or medical contraindications for the pneumococcal vaccine. On 3/12/25 at approximately 6:00 PM, the Director of Nursing (DON) and Assistant Director of Nursing (ADON) revealed they were unable to provide a record of documentation of consent,…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, and interview, the facility failed to ensure residents were treated with dignity by not referring to them according to their care needs, for example, as feeders. This had the potential to affect 2 of 2 residents who required assistance with dining on the East Wing, of a total sample of 34 residents. Findings: On 3/12/25 at 8:30 AM, Certified Nursing Assistant (CNA) F, was observed training CNA G, and overheard telling her that resident #15 was a feeder, so CNA G was to bring his food to him and go back to feed him when she finished passing trays to other residents. CNA G did as she was instructed by CNA F. CNA F did not explain why she called resident #15 a feeder and only acknowledged with, OK. On 3/12/25 at 4:00 PM, Registered Nurse (RN) H asked, you mean how many feeders? in response to how many residents on the East Unit were dependent on staff for eating their meals. RN H acknowledged he erroneously referred to the residents by the term, feeders and then named the two residents on the unit that needed assistance with dining. On 3/12/25 at 4:30 PM, the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to refer a resident with identified mental illness for a Level II Preadmission Screening and Resident Review (PASARR) evaluation and determination for 1 of 6 residents reviewed for PASARR, of a total sample of 34 residents, (#87). Findings: Resident #87 was admitted to the facility on [DATE] with diagnoses including unspecified sequelae of cerebral infarction (stroke), unspecified mood [affective] disorder, cognitive communication deficit, dementia in other diseases classified elsewhere mild with other behavioral disturbance, post-traumatic stress disorder, and bipolar disorder. Review of the Minimum Data Set (MDS) quarterly assessment with assessment reference date of 2/27/25 revealed resident #87 had a Brief Interview for Mental Status score of 10/15 which indicated he had moderate cognitive impairment. The document indicated his active diagnoses included non-Alzheimer's Dementia, Bipolar Disorder, post-traumatic stress disorder, unspecified mood…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such 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 ensure residents who required dialysis received services consistent with professional standards of practice including ongoing assessment of the resident's condition and monitoring for complications before and after dialysis treatments. A pattern of a lack of assessments was demonstrated for 1 of 4 residents reviewed for dialysis, of a total sample of 34 residents, (# 10). Findings: Resident #10 was admitted to the facility on [DATE] with the diagnoses of end stage renal disease (ESRD) with dependence on renal dialysis, type II diabetes mellitus with hyperglycemia, essential hypertension, unspecified mood disorder, anemia of chronic kidney disease, cognitive communication deficit, dementia, encephalopathy, and abnormalities of gait and mobility. The Minimum Data Set (MDS) quarterly assessment dated [DATE], indicated the resident's Brief Interview for Mental States score was 3/15, which indicated severe cognitive impairment. On 3/11/25 at 10:31 AM, the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  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 ongoing monitoring and mitigate triggers of identified past trauma for 2 of 3 residents reviewed for trauma informed care, of a total sample of 34 residents, (#42, and #72). Findings: 1. Review of the medical record revealed resident #42, a [AGE] year old male was admitted to the facility from a Veteran's acute care hospital on 5/10/24 with diagnoses that included moderate dementia with anxiety, affective mood disorder, major depressive disorder, cognitive communication deficit, anxiety disorder, and Chronic Post Traumatic Stress Disorder (PTSD). The most recent Minimum Data Set (MDS) Quarterly Assessment with an Assessment Reference Date (ARD) of 2/11/25 noted during the look-back periods, resident #42 scored 11 out of 15 on the Brief Interview for Mental Status (BIMS) that indicated he was moderately cognitively impaired. The Mood Interview showed for several days, the resident felt down, depressed, or hopeless, had little…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 ensure coordination of hospice services for 1 of 1 resident reviewed for hospice care, of a total sample of 34 residents, (#249). Findings: Resident #249 was admitted to the facility on [DATE] following an acute care hospitalization for Congestive Heart Failure exacerbation. His diagnoses include end stage heart failure, prostate cancer, hypertension and paroxysmal atrial fibrillation. He was initially admitted to hospice on 12/03/24. On 2/21/25 the resident was transferred from home hospice to Long Term Care hospice. According to the National Institute of Health, heart failure is characterized by impairment in cardiac structure and function which results in decreased cardiac output and fluid buildup or congestion. Management of advanced heart failure centers around volume status (the amount of fluid in the body) and managing fluid overload or hypervolemia (too much fluid) (retrieved on 3/21/24 from www.nih.gov). Review of resident #249's care plan…

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

  Administration Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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 $823K 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