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Legacy Pointe At Ucf

2120 Hestia Loop, Oviedo, FL 32765 · Non profit - Corporation · 48 certified beds · (407) 543-6350 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Flagged for abuse2 immediate-jeopardy citations CMS recorded as corrected before the inspection ended (past non-compliance)$26,685 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2025
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $26,685 in federal fines (most recent 2025-11-19)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • nursing-staff turnover (71%) runs well above the national median (45%)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1410 W. Broadway St., Building 100, Suite 102 · (407) 830-8661 · Call to confirm hours
Pharmacy
1977 Alafaya Trl Ste 1121 · (407) 593-2844 · Call to confirm hours
Grocery
Aldi0.3 mi
1268 Alafaya Trl · (855) 955-2534 · Call to confirm hours
Park
246 Easton Cir · Typically dawn to dusk
Place of worship
477 Penny Royal Pl · (407) 542-5168

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-03 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

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

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased21.9%8.7%15.4%worse
Long-stay residents who lose too much weight2.6%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.7%0.3%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.6%0.7%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.0%4.6%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.5%2.5%3.3%better
Long-stay residents on antianxiety or hypnotic medication4.9%14.4%18.9%better
Long-stay residents with pressure ulcers5.5%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control25.9%10.5%21.2%worse than state — see note marked double-dagger below the table
Short-stay residents who newly got an antipsychotic medication0.6%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine87.1%94.7%79.4%typical
Short-stay residents rehospitalized after admission25.5%26.1%22.6%worse
Short-stay residents with an outpatient ER visit7.2%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.702.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.391.151.80better

* 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.

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.

64.9% 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 131 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.9%U.S. median 51.5%
Got home and stayed home
12.2%U.S. median 10.7%
Went back to hospital
67.3%U.S. median 56.6%
Met the expected recovery
0.96U.S. median 0.31
Therapy hours / resident / day
0.48hours / resident / day
Physical therapy
0.33hours / resident / day
Occupational therapy
0.15hours / resident / day
Speech therapy

Met the expected recovery: 67.3% 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 199 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 0.96 therapist hours per resident per day in 2026Q1 — more than 96% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF64.9%CMS range 59.1–72.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.2%CMS range 8.1–16.410.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge67.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge56.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge55.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting99.2%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge95.3%98.7%Oct 2024–Sep 2025CMS 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 stay0.3%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.9%CMS range 4.2–10.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.041.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.95
RN hours/ resident / day
1.37
LPN hours/ resident / day
2.85
Aide hours/ resident / day
5.17
Total nurse hours/ resident / day
0.52
RN hoursweekends
71.3%
Total nursing turnover
88.9%
RN turnover

How full it usually is: this home is certified for 48 beds and averages 43.2 residents a day — about 90% occupied, or roughly 5 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 5.17 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 2.85 is at or above 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 4.56 hrs/resident/day on weekends vs 5.41 on weekdays — 16% thinner on weekends. RN hours go from 1.12 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

2
deficiencies at the latest standard inspection (2026-03-19)
8
at the previous standard inspection (2025-01-24)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

  • Immediate jeopardy · J2025-11-19 · 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 observation, interview, and record review, the facility failed to protect the residents' right to be free from neglect by not ensuring the staff maintained a secure environment and implemented measures to mitigate the risks to prevent elopement for 1 of 6 residents reviewed for elopement, of a total sample of 6 residents, (#1). These failures contributed to the elopement of resident #1 and placed him at risk for serious injury/impairment/death. While resident #1 was outside the unit unsupervised, there was reasonable likelihood he could have gone up to the roof and fallen off, fallen down the stairs with his walker or been hit by a car. On 9/16/25 at approximately 2:00 PM, the facility failed to prevent a resident with severe cognitive impairment from exiting the facility unsupervised. The facility was unaware of resident #1's whereabouts until he was observed outside on the sidewalk by a maintenance staff member at approximately 2:15 PM and returned to the unit at approximately 2:30 PM. The facility…

    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 · J2025-11-19 · 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 observation, interview, and record review, the facility failed to provide adequate supervision to maintain a secure environment to ensure vulnerable residents did not exit the facility without supervision for 1 of 6 residents reviewed for elopement, of a total sample of 6 residents, (#1). These failures contributed to the elopement of resident #1 and placed him at risk of serious injury, impairment or death. While resident #1 was outside the unit unsupervised, there was reasonable likelihood he could have gone to the roof and fallen off, fallen down the stairs with his walker or been hit by a car. On 9/16/25 at approximately 2:00 PM, the facility failed to prevent a resident with severe cognitive impairment from exiting the facility unsupervised. The facility was unaware of resident #1's whereabouts until he was observed outside on the sidewalk by a maintenance staff member at approximately 2:15 PM and returned to the unit at approximately 2:30 PM. The facility failed to ensure resident #1 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2026-03-19 · 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 develop an individualized person-centered care plan related to urinary tract infection (UTI) for 1 of 1 resident reviewed for care plans, of a total sample of 28 residents, (#47).Findings: Resident #47 was admitted to the facility on [DATE] with diagnoses including lower back pain with left side sciatica, spinal stenosis, epigastric mass, heart disease, diverticulosis and bacteria in the urine. Review of the Minimum Data Set (MDS) admission assessment with an assessment reference date of 3/09/26 revealed resident #47 had a Brief Interview for Mental Status score of 15/15, which indicated she was cognitively intact. Her active diagnosis included urinary tract infection in the past 30 days. Review of resident #47's electronic medical record (EMR) revealed an advanced practice nurse progress note dated 3/13/26 which indicated resident #47 had complained of lower abdominal pain and pain during urination and a urine culture was ordered. laboratory results…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-19 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to adhere to proper infection control practices related to Enhanced Barrier Precautions (EBP) for 1 of 1 resident reviewed for wound care, of a total sample of 48 residents, (#7). Findings:Review of resident #7's medical record revealed he was admitted to the facility on [DATE] with diagnoses including Parkinson's disease, chronic kidney disease, history of non-ST elevation myocardial infarction, atrial fibrillation, heart failure, hypertension, glaucoma, cognitive communication deficit, history of non-Hodgkin lymphoma in remission. Review of current physician orders on 3/16/26 revealed resident #7 had multiple wounds with active orders for wound care to the coccyx, left heel, and spine wounds. Orders included daily wound care treatments, offloading interventions, and topical treatments. The resident had active orders for Enhanced Barrier Precautions related to a wound infection. Review of the February 2026 Medication Administration Record…

    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 · F2025-01-24 · tag F0847 — widespread
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    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 that the binding arbitration agreement explicitly granted the resident or their representative the right to rescind the agreement within 30 calendar days of signing it. Findings: Review of the facility's Nursing admission and Care Agreement revealed an Arbitration Provision in Section I of the agreement. The document contained language stating that agreeing to resolve disputes as set forth herein was not a precondition for receiving medical treatment or for admission. The document language further revealed, (the resident) did also acknowledge that he or she has had the right and opportunity to consult with an attorney prior to signing the admission and Care Agreement and to seek any explanation or clarification desired. The signature line followed a statement which read, The undersigned acknowledge that each of them has read this entire admission and care agreement and understands that by signing this agreement each has waived his/her right to a trial, before a judge or jury, and that each of them voluntarily…

    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 · F2025-01-24 · tag F0848 — widespread
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    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 that the binding arbitration agreement provided for the selection of a neutral arbitrator agreed upon by both parties and provided for the selection of a venue that was convenient to both parties. Findings: Review of the facility's Nursing admission and Care Agreement revealed an Arbitration Provision in Section I of the agreement. The document contained language stating the arbitration would be referred to, conducted by and resolved in accordance with the American Arbitration Association's rules and parameters at a formal arbitration hearing. The provision did not contain a statement which provided for the selection of a neutral arbitrator agreed upon by both parties or the selection of a venue that was convenient to both parties. On 1/24/25 at 11:32 AM, the Skilled Nursing Facility admission Coordinator stated she was responsible for meeting with residents or their representatives to get the admission agreement signed. The admission Coordinator stated she informed the resident or representative that 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-24 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to provide written Notification of Transfer or Discharge forms to the residents or their representative and the Ombudsman for 4 of 4 residents reviewed for hospitalizations, of a total sample of 26 residents, (#10, #25, #31 and #38). Findings: 1. Review of resident #25's medical record revealed she was originally admitted to the facility on [DATE] and readmitted on [DATE] from an acute care hospital. Her diagnoses included myocardial infarction, type 2 diabetes, congestive heart failure, and fracture of right ileum. Review of the Minimum Data Set (MDS) discharge assessment with Assessment Reference Date (ARD) of 8/12/24 revealed resident #25 had an unplanned transfer to a short-term acute care hospital. The record showed additional MDS discharge assessments were completed for unplanned transfers to the hospital on 9/11/24, 11/12/24 and 12/11/24. Review of resident #25's medical record revealed she was transferred to the hospital on 9/11/24 due to low…

    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 before2025-01-24 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 nursing staff had the appropriate competencies and skill sets required to meet residents' needs for medication administration and storage per nursing standards of care for 3 of 3 nurses reviewed for medication administration and storage. Findings: 1. Review of resident #443's medical record revealed he was originally admitted to the facility on [DATE] and readmitted on [DATE] from an acute care hospital. His diagnoses included sepsis due to enterococcus (bacteria), type 2 diabetes, congestive heart failure and chronic obstructive pulmonary disease. Sepsis is the body's extreme response to an infection. It is a life-threatening medical emergency, (retrieved from www.cdc.gov on 1/29/25). On 1/21/25 at 12:08 PM, resident #443's wife shared the night he was admitted was a disaster. She indicated the only reason her husband was here was for the Intravenous (IV) antibiotics and the facility did not have them. She stated the weekend…

    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 · E2025-01-24 · 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 of facility documentation, the facility failed to ensure implementation of policies to the extent of including thorough monitoring of previously identified areas of concern and adequately tracking performance to ensure the facility had competent nursing staff and infection prevention control measures implemented. Findings: Review of the facility's Quality Assessment and Assurance (QAA) policy not dated revealed the objective was, To provide an ongoing program to monitor quality of care and quality of life for the residents. The document disclosed the responsibility was the Nursing Home Administrator (NHA), the Director of Nursing (DON) and the Medical Director and Designee. The document included the QAA committee would meet at least quarterly or more frequent as necessary, to coordinate and evaluate activities under the QAPI (Quality Assurance and Performance Improvement) program . The committee will develop and implement appropriate plans of action to correct identified quality deficiencies. The facility had deficiencies of F726-Competent…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-24 · 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 their grievance process for 2 of 2 residents reviewed for grievances, of a total sample of 26 residents, (#21 and #443). Findings: 1. Review of resident #21's medical record revealed she was readmitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, type 2 diabetes, atrial fibrillation, and osteoarthritis. Review of the Minimum Data Set (MDS) quarterly assessment with Assessment Reference Date (ARD) of 10/14/24 revealed resident #21 had a Brief Interview for Mental Status (BIMS) score of 13 out of 15 which indicated she was cognitively intact. On 1/21/25 at 1:48 PM, resident #21 shared she could not find some lotion and a gait belt she had in her room. She stated staff helped her look for the items, but no one had found them. Resident #21 stated while getting care from her aide about a day or two ago, a healed wound had reopened. She said she wished to no longer have that aide provide care to her. She…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-24 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, and interview, the facility failed to ensure medications were inaccessible to non-authorized staff and residents in 1 of 1 medication carts on the Blue Unit. Findings: During a tour of the Blue Unit on 1/22/25 at 8:40 AM, a medication cup with seven pills was left unattended on top of a medication cart. The medication cart was locked. On 1/22/25 at 8:41 AM, Registered Nurse (RN) A stated she left to attend an emergency. She explained a staff member asked her to go to a resident's room and she thought she placed the cup in the medication cart's drawer before stepping away. She indicated the medication cart itself was locked. She stated she knew this was not safe because, any patient or family can grab it, it is a hazard, definitely not supposed to leave [the medicine] outside, unlocked. On 1/22/25 at 10:43 AM, the Assistant Director of Nursing (ADON) explained nurses received computer and hands-on training during orientation, but competencies were not completed. She indicated if a nurse was called away due to an emergency while preparing medications, 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-24 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to adhere to proper infection control practices related to hand hygiene and disinfection of equipment during medication administration on 1 of 2 units, (Orange Wing). Findings: During a medication administration pass observation on 1/22/25 at 2:15 PM, Licensed Practical Nurse (LPN) C retrieved a mobile vital signs device from the hallway across from her assigned residents and brought into resident #495's room but did not disinfect the device before using it. Outside resident #495's room a sign was on the door which indicated the resident was on enhanced barrier precautions. Prior to entering the room, she donned a gown and gloves but did not perform hand hygiene. After LPN C obtained resident #495's vital signs, she removed the gown and gloves and exited the room with the mobile vital signs device, which she placed next to the medication cart. She did not perform hand hygiene. LPN C unlocked the medication cart, pulled 2 blister packs which contained medications for resident #495 and poured them in a medication…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · Ecited before2023-11-16 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 nursing staff had the appropriate competencies and skill sets required to meet residents' needs as indicated by the plans of care. Findings: Review of the Facility Assessment, effective March 2023, revealed with a census of eight residents, the facility would be staffed with a Director of Nursing (DON) and an Assistant DON (ADON). The document indicated the facility provided care for residents with short-term and long-term rehabilitative needs, physical and cognitive impairments, respiratory conditions, infectious conditions, and diabetes. The Facility Assessment revealed it would admit residents with common diagnoses such as skin ulcers and injuries, urinary incontinence, anemia, and heart disease. Staff competencies required to provide the level and scope of care needed would be evaluated at least annually, and competencies for all nursing staff would address common diagnoses. The document indicated all staff would receive training on Resident Rights and Infection Control and Prevention. Licensed nurses were…

    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 · D2023-11-16 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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 honor the right to make a choice regarding a significant aspect of activities of daily living for 1 of 2 residents reviewed for choices, out of a total sample of 13 residents, (#101). Findings: Review of the medical record revealed resident #101 was admitted to the facility on [DATE] with diagnoses including right side weakness and paralysis and a communication disorder following a stroke, chronic pain, and enlarged prostate. The Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 8/15/23 revealed resident #101 was usually able to express ideas and wants if prompted or given time, and usually understood verbal content. The MDS assessment showed the resident required extensive assistance of two staff for bed mobility, toilet use, and personal hygiene. He had functional limitation in range of motion with impairment of both extremities on one side. Resident #101 was frequently incontinent of urine and he used an…

    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 · D2023-11-16 · 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 provide treatments as ordered to promote wound healing for 1 of 2 residents reviewed for non-pressure skin conditions, out of a total sample of 13 residents, (#101). Findings: Review of the medical record revealed resident #101 was admitted to the facility on [DATE] with diagnoses including right side weakness and paralysis and a communication disorder following a stroke, and chronic pain. Resident #101 had a care plan initiated on 5/15/23 for risk for pressure and non-pressure skin alterations related to reduced mobility, weakness, and use of antiplatelet drugs. The care plan was revised to show the resident sustained a skin tear on his right hand on 11/08/23. The interventions included administer treatments as ordered and monitor for effectiveness. Review of the Order Listing Report revealed a physician order dated 11/09/23 to cleanse the outer aspect of resident #101's right hand with normal saline, pat dry, apply the dressing, and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 appropriate care and services according to accepted professional standards related to conducting a pressure wound assessment on admission and applying wound treatment as ordered to promote healing and prevent worsening of a pressure ulcer for 1 of 2 residents reviewed for pressure ulcers, out of a total sample of 13 residents, (#104). Findings: Review of the medical record revealed resident #104 was admitted to the facility on [DATE] with diagnoses including stroke with right side weakness and paralysis, traumatic brain injury, and gastrointestinal hemorrhage. Review of resident #104's Clinical admission form dated 11/13/23 revealed the nurse found the resident's skin was warm and dry, and her skin color and turgor or elasticity were normal. The document indicated there was a new skin issue, a dressing on coccyx (back of body above buttocks). The admission evaluation revealed the wound had tunneling. The National Pressure Injury…

    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 · D2023-11-16 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    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 prevent medication errors for 2 of 6 residents reviewed during the Medication Administration task, out of a total sample of 13 residents, (#101 and #102). There were 3 errors in 31 opportunities for a medication error rate of 9%. Findings: 1. Review of the medical record revealed resident #101 was admitted to the facility on [DATE] with diagnoses including right side weakness and paralysis and a communication disorder following a stroke, and chronic pain. Review of a Health Status Note dated 11/14/23 at 6:40 AM revealed resident #101 had an intermittent, non-productive cough. The Order Listing Report included a physician order dated 11/14/23 for Mucinex Extended Release tablets, give one 600 milligram (mg) tablet every 12 hours for seven days, to treat cough and congestion. On 11/14/23 at 9:35 AM, Licensed Practical Nurse (LPN) D prepared to administer resident #101's scheduled morning medication. She withdrew two tablets Vitamin D 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-16 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure its policy and procedures for clean dressing changes reflected accepted Infection Control standards of practice; and failed to adhere to proper Infection Control practices during wound care to prevent cross-contamination for 1 of 2 residents reviewed for pressure ulcers, out of a total sample of 13 residents, (#104). Findings: Review of the medical record revealed resident #104 was admitted to the facility on [DATE] with diagnoses including stroke with right side weakness and paralysis, traumatic brain injury, and gastrointestinal hemorrhage. Review of resident #104's Clinical admission form dated 11/13/23 revealed she had a dressing on coccyx (back of body above buttocks). The resident's medical record revealed a care plan for wound management, initiated on 11/13/23. The goal was her wound would show signs of improvement. The interventions included provide wound care as ordered. Review of the Medication Administration Record…

    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
  • No harm found · C2023-11-16 · tag F0732 — widespread
    Post nurse staffing information every day.
    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 post required nurse staffing information daily to ensure accurate and comprehensive data was accessible to residents and/or visitors. Findings: On 11/13/23 at 8:44 AM, observation of the first floor main entrance lobby revealed no staffing information posting for the skilled nursing facility. On 11/13/23 at 9:35 AM, observation of the second floor foyer and entrance to the skilled nursing unit revealed nurse staffing information was not posted as required. A document titled Nursing Staff on Duty was noted on the wall outside the common dining area but it did not include the resident census and the actual hours worked by specific categories of licensed and unlicensed nursing staff. On 11/14/23 at 9:18 AM, the Nursing Staff on Duty form showed the name of the facility, the date, and first names of nursing staff scheduled for each shift. The document did not provide the census or actual hours for each category of nursing staff to include Registered Nurses, Licensed Practical Nurses, and Certified Nursing…

    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

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

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

Fines & penalties

$26,685 in federal fines across 2 penalties.

  • $13,342 — penalty dated 2025-11-19
  • $13,343 — penalty dated 2025-11-19

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.

Who owns this facility

Owner / managerTypeRoleShareSince
CCRC DEVELOPMENT CORPORATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 04/17/2023
U.S. BANKOrganization5% OR GREATER MORTGAGE INTERESTsince 12/01/2019
SMAAGE, KEVINIndividualW-2 MANAGING EMPLOYEEsince 04/17/2023
WEHMANN, DOMENICAIndividualW-2 MANAGING EMPLOYEEsince 04/17/2023
BANGS, TERRYIndividualCORPORATE DIRECTORsince 04/17/2023
BLOOM, WARRENIndividualCORPORATE DIRECTORsince 04/17/2023
BOWERS, RUSSELLIndividualCORPORATE DIRECTORsince 04/17/2023
FRAME, ADRIENNEIndividualCORPORATE DIRECTORsince 04/17/2023
GOFF, BARRYIndividualCORPORATE DIRECTORsince 04/17/2023
HAGERTY, KATHLEENIndividualCORPORATE DIRECTORsince 04/17/2023
LIGHTMAN, ANTHONYIndividualCORPORATE DIRECTORsince 04/17/2023
PABST-STEINMETZ, MARGERYIndividualCORPORATE DIRECTORsince 04/17/2023
RIGEL, ROBERTIndividualCORPORATE DIRECTORsince 04/17/2023
SOLE, MARYIndividualCORPORATE DIRECTORsince 04/17/2023
WANG, YOUCHENGIndividualCORPORATE DIRECTORsince 04/17/2023
ANDERSON, PHILLIPIndividualCORPORATE OFFICERsince 04/17/2023
FRANCIS, ALBERTIndividualCORPORATE OFFICERsince 04/17/2023
GMSC FLORIDA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 11/01/2020

3 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.

What families pay in FL

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 106153. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-19, 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.

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