Solaris Healthcare College Park

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.

50.7% 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 141 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.7% 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 136 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 0.43 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 39% 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 108 beds and averages 112.6 residents a day — about 104% 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 3.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 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 3.31 hrs/resident/day on weekends vs 3.78 on weekdays — 13% thinner on weekends. RN hours go from 0.60 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

20 citations, most serious first. The 13 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · J2024-12-04 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 protect the resident's right to be free from abuse and neglect by not ensuring staff followed resident #1's care plan for safe transfers for 1 of 6 residents reviewed for transfers with a mechanical lift, out of a total sample of 6 residents, (#1). On 11/07/24 at approximately 9:00 AM, the facility failed to prevent serious injury of a physically impaired resident during a transfer from bed to wheelchair. Two CNAs failed to follow resident #1's care plan which required the resident to be transferred using a mechanical lift with assistance of two staff. The two CNAs transferred the resident from his bed by manually lifting the resident and pivoting him to the wheelchair. The resident complained of extreme pain to his right leg shortly after the transfer. An X-ray of resident #1's leg indicated a right distal femur fracture. The resident was transferred to the hospital, and it was determined he was not a candidate for needed surgery due to his advanced…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Immediate jeopardy · Jcited before2024-12-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 adequate supervision and a safe environment to prevent accidents for 1 of 6 residents reviewed for transfers with a mechanical lift, out of a total sample of 6 residents, (#1). On 11/07/24 at approximately 9:00 AM, the facility failed to prevent serious injury of a physically impaired resident during a transfer from bed to wheelchair. Two CNAs failed to follow resident #1's care plan which required the resident to be transferred using a mechanical lift with assistance of two staff. The two CNAs transferred the resident from his bed by manually lifting the resident and pivoting him to the wheelchair. The resident complained of extreme pain to his right leg shortly after the transfer. An X-ray of resident #1's leg indicated a right distal femur fracture. The resident was transferred to the hospital, and it was determined he was not a candidate for needed surgery due to his advanced age. The resident was prescribed pain medications, and a leg…

  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 · Past Non-Compliance
• Actual harm · G2023-09-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to effectively collaborate with a hospice agency to ensure prompt recognition and timely treatment of uncontrolled agitation for 1 of 1 terminally ill resident reviewed for hospice services, (#88); failed to appropriately prevent and treat self-inflicted wounds, (#88) and ensure skin evaluation and wound treatments were done according to professional standards, (#37), for 2 of 4 residents reviewed for non-pressure skin conditions, out of a total sample of 44 residents. The facility's failure to maintain ongoing communication with the hospice agency regarding the severity, frequency, and outcomes of unmanaged anxiety and agitation caused actual physical and psychosocial harm for resident #88, who suffered symptoms that were inconsistent with the resident's and his representatives' choice and goal for comfort at the end of life. Findings: 1. Review of the medical record revealed resident #88 was admitted to the facility on [DATE] with a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 its grievance process for 1 of 3 residents reviewed for grievances, of a total sample of 12 residents, (#9).Findings:Review of resident #9's medical record revealed she was originally admitted to the facility on [DATE] and readmitted from an acute care hospital on 7/17/25. Her diagnoses included end- stage renal disease, dependence on renal dialysis, congestive heart failure, chronic obstructive pulmonary disease, and type 2 diabetes.Review of the Minimum Data Set quarterly assessment dated [DATE] revealed resident #9's Brief Interview for Mental Status score of 15 out of 15 indicating intact cognition.Review of a Change in Condition Evaluation dated 7/09/25 revealed resident #9 was hypoxic (low oxygen level). The form documented resident #7's oxygen saturation (SpO2) at 68% on 5 liters per minute (lpm) of oxygen. The nurse documented oxygen delivery rate was decreased to 2 lpm, but resident #9's SpO2 dropped to 43%. The document noted 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 · D2025-07-24 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 accurately report allegations of neglect to the Agency for Health Care Administration (AHCA) and conduct a thorough investigation for 2 of 3 residents, of a total sample of 12 residents, (#7 and #8).Findings:1. Review of resident #7's medical record revealed he was originally admitted to the facility on [DATE] and readmitted from an acute care hospital on 4/07/25. Resident #7's diagnoses included hemiplegia (one-sided paralysis) and hemiparesis (one-sided weakness) following a stroke affecting his left non-dominant side, contracture of the left knee, and muscle weakness. Review of the Minimum Data Set (MDS) significant change in status assessment dated [DATE] revealed resident #7's Brief Interview for Mental Status (BIMS) score of 9 out of 15 which indicated moderate cognitive impairment. The assessment revealed he was dependent on staff for all Activities of Daily Living (ADLs) except for eating, and dependent on staff for mobility and transfers. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-15 · tag F0554 — isolated
  Allow 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 medications, of a total sample of 38 residents, (#38). Findings: Resident #38 was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included chronic respiratory failure, unspecified dementia, functional quadriplegia (partial paralysis), anxiety disorder, constipation, and depression. Review of the Minimum Data Set annual assessment with assessment reference date of 3/06/25 revealed resident #38 had a Brief Interview for Mental Status Score of 15 out of 15 which indicated she was cognitively intact. On 5/12/25 at 11:31 AM, resident #38 was in bed, awake, alert, and oriented. On her bedside table there was a medicine cup with a liquid inside and the resident explained it was medication for constipation. Resident# 38 said the nurse had left it along with a liquid supplement in…

  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 · Ecited before2023-09-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 identify appropriate interventions and provide adequate supervision to prevent repeated falls for 1 of 4 residents reviewed for accidents, out of a total sample of 44 residents, (#88). Findings: Review of the medical record revealed resident #88 was admitted to the facility on [DATE] with diagnoses including brain cancer, heart disease, weakness, and depression. The Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 8/26/23 revealed resident #88 was sometimes understood, with limited ability to make concrete requests, and responded adequately to simple, direct communication only. The resident's Brief Interview for Mental Status score was 5, which indicated he had severe cognitive impairment. The MDS assessment showed the resident exhibited no behavioral symptoms and did not reject evaluation or care. Resident #88 required extensive assistance of one staff member for bed mobility, transfers, locomotion on 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 · E2023-09-14 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 maintain sufficient staff for the Restorative Nursing Program (RNP) to meet the needs according to plans of care and to promote the highest practicable well-being for all residents who required restorative nursing services. Findings: Review of the Facility Assessment Tool, updated on 6/05/23, revealed the facility could care for residents with common diagnoses including musculoskeletal and neurological conditions such as fractures, arthritis, stroke, one-sided paralysis or weakness, paraplegia, and quadriplegia. The document indicated the facility would provide care and services based on residents' needs. The Facility Assessment Tool listed types of general and specific care including activities of daily living, supporting residents' independence in accomplishing as much as possible, restorative nursing, contracture prevention and care, therapy, and management of braces and splints. The document revealed the staff resources needed to provide competent support and care for residents included a Restorative…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-09-14 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide 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 ensure scheduled medications were administered with respect to time parameters and to physician orders for 3 of 3 residents in a total sample of 44 Residents (#41, #76, #91). Findings: 1. Resident #76 was admitted to the facility on [DATE] with diagnoses to include epilepsy, back pain, spinal stenosis, repeated falls, orthostatic hypotension ( a change in blood pressure readings when a person is lying, sitting, and standing), depression, anxiety, schizoaffective disorder, and adjustment disorder. Review of the resident's quarterly Minimum Data Set (MDS) assessment with Assessment Reference Date (ARD) of 7/24/23 revealed the Brief Interview for Mental status (BIMS) was 15/15 indicating the resident's cognition was intact. A review of the Physician Order Sheet revealed resident #76 was ordered phenytoin100 milligrams (mg), two capsules every eight hours for epilepsy, buspirone 10 mg, 1.5 tablets three times a day for anxiety, sertraline 150 mg at bedtime…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-09-14 · tag F0554 — isolated
  Allow 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 an evaluation, and a physician order for safe self-administration of medication was obtained for 2 of 4 residents reviewed for choices of a total sample of 44 residents, (#26, #94). Findings: 1. Resident #26, a [AGE] year-old male was admitted to the facility on [DATE]. His diagnoses included chronic diastolic (congestive) heart failure, cardiac pacemaker, dry eye syndrome of bilateral lacrimal glands, and age-related cataract. The resident's annual Minimum Data Set (MDS) assessment with Assessment Reference Date (ARD) of 8/17/23, revealed the resident's cognition was intact, as indicated by the Brief Interview for Mental Status (BIMS), in which the resident scored of 15 out 15. On 9/11/23 at 9:53 AM, two bottles of Vitamin B-complex, two vials of artificial tears, three packets of eye lubricant, and one container of pills, with description written in Chinese language was noted on top of the resident's mini refrigerator in his room.…

  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 · D2023-09-14 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure repairs/maintenance pertaining to a toilet was completed in a timely manner for 1 room affecting 2 residents on the 300 hall, (#91, #25). Findings: On 9/11/23 at 10:16 AM, resident #91's daughter stated there was a leak in the resident's bathroom, and it took a while for it to be addressed. She stated she reported it to all the staff, and finally the Administrator bought a new toilet, but the toilet was not stable, it moved, and rocked. On 9/11/23 at 10:46 AM, and 9/12/23 at 12:12 PM, resident #25, resident #91's roommate stated that when she sits on the toilet, it moved and rocked. She stated the toilet base needed a better seal, and there were no safety rails on the toilet for her to hold on to, and she could not stand for a long period. On 9/12/23 at 12:35 PM, observation of the toilet was conducted with the Maintenance Director, and he confirmed that the toilet was not stable, it was shifted from the base, and rocked. 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 · D2023-09-14 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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 interview and record review, the facility failed to arrange services related to physician-ordered consults to meet medical needs identified in the comprehensive care plan for 1 of 4 residents reviewed for mobility, out of a total sample of 44 residents, (#94). Findings: Review of the medical record revealed resident #94 was admitted to the facility on [DATE] with diagnoses including lumbar region disc replacement, osteoarthritis, neuropathy or nerve pain, and lymphedema. Lymphedema refers to tissue swelling caused by an accumulation of fluid that is usually drained through the body's lymphatic system. It most commonly affects the arms or legs (retrieved on 9/15/23 from www.mayoclinic.org/diseases-conditions/lymphedema). Review of the Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 8/27/23 revealed resident #94 had a Brief Interview for Mental Status score of 15, which indicated she was cognitively intact. The document showed during the 7-day look back period, 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 · D2023-09-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide 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 adequate assistance with activities of daily living (ADLs) for dependent residents related to oral care (#100), and incontinence care (#37), for 2 of 3 residents reviewed for activities of daily living, out of a total sample of 44 residents. Findings: 1. Review of the medical record revealed resident #100 was admitted to the facility on [DATE] with diagnoses including stroke with right side weakness and paralysis, Alzheimer's Disease, generalized muscle weakness, and gastrostomy status. A gastrostomy is a surgical procedure in which a tube is inserted directly into the stomach through an incision in the abdomen wall. The tube is used to provide feeding or medications (retrieved on 9/15/23 from www. medical-dictionary.thefreedictionary.com/gastrostomy) Review of the Minimum Data Set (MDS) Medicare 5-day assessment with assessment reference date (ARD) of 8/29/23 revealed resident #100 had a Brief Interview for Mental Status (BIMS)…

  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

“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.

Fines & penalties

$46,804 in federal fines across 3 penalties.

• $8,226 — penalty dated 2024-12-04
• $8,226 — penalty dated 2024-12-04
• $30,352 — penalty dated 2023-09-14

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to SOLARIS HEALTHCARE — 22 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 →

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

5 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 71% 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 $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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