Palm City Nursing & Rehab Center
2505 SW Martin Hwy, Palm City, FL 34990 · For profit - Corporation · 120 certified beds · (772) 288-0060 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (22% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 6.3% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 1.7% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 11.5% | 4.6% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.3% | 2.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 3.6% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 7.6% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.1% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 3.3% | 10.5% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 16.5% | 8.6% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.6% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 26.5% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 8.2% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.72 | 2.13 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 0.88 | 1.15 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
47.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 186 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 82.4% 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 91 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 0.79 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 47.0%CMS range 41.6–57.2 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.8%CMS range 8.4–14.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 82.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 74.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 63.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.5% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 9.1%CMS range 6.2–11.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.12 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 114.4 residents a day — about 95% occupied, or roughly 6 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.20 hrs/resident/day on weekends vs 3.71 on weekdays — 14% thinner on weekends. RN hours go from 0.64 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 22% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · D2024-07-18 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to develop and implement care plans related resident's noncompliance with fluid restrictions and failed to develop and implement care plans to encourage staff and resident to adhere to fluid restrictions for 1 of 5 sampled residents reviewed for Nutrition / Hydration, Resident #10. The findings included: Record review revealed Resident #10 was admitted to the facility on [DATE] and admitted to Hospice on 06/18/24. Review of the resident's most recent complete assessment, a Significant change Minimum Data Set (MDS), dated [DATE], revealed Resident #10 had a Brief Interview for Mental Status (BIMS) score of 13, indicating the resident was cognitively intact. Resident #10's diagnoses )DX) at the time of the assessment included: Coronary Artery Disease, Heart Failure, Hypertension, Hypernatremia, Hyperlipidemia, Arthritis, Osteoporosis, Cardiac Murmur, Muscle weakness, Need for assistance with personal care, Difficulty in walking, Symbolic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-18 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to follow physicians' orders by not administering medications timely for 3 of 3 sampled residents reviewed for residents who received Parkinson's medications, affecting Residents #21, #25, and #310. The findings included: Review of the facility's procedural guidelines, titled, Medication Pass and Med Pass with Medication Cart, with an updated date of 06/28/23, included, in part, the following: Purpose: To assure the most complete and accurate implementation of physician's orders and to optimize drug therapy for each resident by providing for administration of drugs in an accurate, safe, timely, and sanitary manner. Guidance Steps in the Procedure: 7. Administer medications within 60 minutes of the scheduled time. Unless otherwise specified by the physician, routine medications are administered according to the established medication administration schedule for the center. For example, if the medication is ordered for 8:00 AM, it must be given between…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-18 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 observations, interviews and record review, the facility failed to ensure ongoing care to prevent infection prevention for 1 of 1 sampled resident reviewed for indwelling urinary catheter (Foley) care as evidenced by lack of documentation (Resident #90). The findings included: Review of the facility's policy, titled, Catheter Care and Services, with a revised date of 06/2024 included, in part, the following: A resident with or without an indwelling catheter, receives the appropriate care and services to prevent urinary tract infections to the extent possible. Under Section titled Documentation: Assessments/evaluations, care plans, orders and or nursing measures as appropriate. Record review for Resident #90 revealed the resident was admitted to the facility on [DATE] with diagnoses that included: Unspecified Dementia and Neuromuscular Dysfunction of Bladder. Review of the Minimum Data Set (MDS) for Resident #90 dated 06/18/24 documented in Section C a Brief Interview of Mental Status (BIMS) score of 4…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-18 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 observations, interviews and record reviews, the facility failed to monitor weights appropriately and failed to ensure weights are accurate for 2 of 5 sampled residents reviewed for nutrition, Residents #29, and #78; and failed to adhere to fluid restrictions for 1 of 5 sampled residents reviewed for Nutrition, Resident #10. Th findings included: The facility's policy, titled, Weight Measurements, with a reference date of 08/2023, documented, in part, the following: Frequency of Measurements and Calculations: Residents are weighed weekly, monthly, or according to physician orders. Residents should be weighed at the same time of day, in similar clothing and using the same scale. Any significant or progressive loss or gain is noted and reported to the resident's attending physician, family, or responsible party and documented in the medical record. Note all new admits are weighed weekly for 30 days. 1. Record review revealed Resident #29 was admitted to the facility on [DATE]. Review of the resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-18 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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
Based on record review and interview, the facility failed to ensure narcotic medications removal was documented in the medication administration records (MARs) for 3 of 6 sampled residents reviewed for medications (Residents #88, #10 & #46). The findings included: On 07/18/24 at 11:26 AM, during the medication storage review process six (6) residents were selected for review. Three of those residents had discrepancies in their records. Record review revealed Resident #88 had physician orders of Tramadol 50 mg every 8 hours as needed for pain. The controlled medication utilization record was compared against the July 2024 Medication Administration Records (MARs), revealing there were discrepancies. The controlled medication utilization record showed the Tramadol was removed on 07/01/24 at 11:02 AM, and 07/07/24 at 3 AM but there was no documentation in the MARs to reflect this removal and administration to the resident. Record review revealed Resident #10 had physician order of Lorazepam 0.5 mg every 4 hours as needed for anxiety. The controlled medication utilization record was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-18 · tag F0759 — failed to keep medication error rate low — isolatedEnsure 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 observations, interviews, and record review, the facility failed to maintain medication error rate less than 5% for 2 of 32 opportunities identified while observing medication pass affecting Residents #32 and #99. The medication error rate was calculated to be 6.25 % (percent). The findings included: Review of the facility's procedural guidelines, titled, Medication Pass and Med Pass with Medication Cart, with an updated date of 06/28/23, included, in part, the following: Purpose: To assure the most complete and accurate implementation of physician's orders and to optimize drug therapy for each resident by providing for administration of drugs in an accurate, safe, timely, and sanitary manner. Guidance Steps in the Procedure: 7. Administer medications within 60 minutes of the scheduled time. Unless otherwise specified by the physician, routine medications are administered according to the established medication administration schedule for the center. For example, if the medication is ordered for 8:00…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-18 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to secure medications at the bedside for 2 of 115 residents (Resident #72 & #83); failed to secure medication during medication administration (Resident #102); and failed to secure the medication cart while unattended for 1 of 5 med carts The findings included: Review of the facility's procedural guidelines, titled, Medication Storage Room, with an updated date of 06/28/24, included the following, in part: Under Medication Storage Area: Medication storage areas are secure when not under direct supervision of a nurse. 1. Record review for Resident #72 revealed the resident was admitted originally on 07/03/23 with most recent readmission on [DATE] and diagnoses that included: Type 2 Diabetes Mellitus without Complications, Bilateral Primary Osteoarthritis of Knee, and Spinal Stenosis. Review of the Minimum Data Set (MDS) assessment for Resident #72 dated 06/10/24 revealed in Section C, a Brief Interview of Mental Status (BIMS) score of 14…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-25 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical and administrative record review and staff interview, the facility must ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the resident's choices, related to pain management. This is evidenced by the facility failure to follow the physician order for pain management for 1 of 3 sampled residents reviewed for pain management, Resident # 1. The findings included: Review of the clinical record for Resident #1 revealed the resident was admitted to the facility on [DATE] with diagnoses that included Aftercare following Joint Replacement surgery, unilateral primary Osteoarthritis, left hip, Multiple Sclerosis, Takotsubo Syndrome, Chronic Pain Syndrome, and Muscle Spasm. Review of the 09/27/23 Minimum Data Set Assessment (MDS) documented Resident #1's Pain Assessment identifed the resident has had pain or hurting anytime in the last 5 days. The resident frequently experienced pain or hurting over the last 5 days and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-04-28 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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
Based on observation, record review, policy review, and interview, the facility failed to ensure medication reconciliation of controlled substances were accurate for 3 of 4 sampled residents reviewed, Residents #7, 84, and 86. The findings included: A review of the facility policy, titled, Nurses' Medication Storage Room Guidelines, revealed, in part, that there is an accurate record of receipt and disposition of drugs. A review of the facility policy, titled, Medication Pass Guidelines revealed, in part, record the name, dose, route, and time of the medication on the Medication Administration Record (MAR). Initial the record after the medication is administered to the resident. Record the reason for not administering if not administered. a. On 04/27/23 at approximately 11:30 AM, an observation of the medication cart on the 200 wing, east even cart, with Staff A, Licensed Practical Nurse (LPN), revealed Resident #86 had an order for Oxycodone 5 milligrams (mg) every 4 hours as needed (PRN) for pain. A review of the medication count was correct. A review of the Controlled 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.
- Potential for harm · D2023-04-28 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and policy review, the facility failed to ensure timely review and follow-up of pharmacy recommendations for 3 of 5 sampled residents, Resident #12, #72 and #75. The findings included: Review of the policy. titles, '9.1 Medication Regimen Review' revised 03/03/20, documented in part, 7. Facility should encourage Physician/Prescriber or other Responsible Parties receiving the MRR (Monthly Regimen Review) and the Director of Nursing to act upon the recommendations contained within the MRR. 7.1 For those issues that require Physician/Prescriber intervention, Facility should encourage Physician/Prescriber to either accept and act upon the recommendations contained within the MRR or reject all or some of the recommendations contained in the MRR and provide an explanation as to why the recommendation was rejected. 7.2 The attending physician should document in the residents' health record that the identified irregularity has been reviewed and what, if any, action has been taken to address it. 7.2.1 If the attending physician has decided to make no change…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 11 citations
- Potential for harm · Dcited before2023-04-28 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and policy review, the medication error rate was 7.4 percent. Two (2) medication errors were identified while observing a total of 27 opportunities, affecting 2 of 11 sampled residents observed, Residents #158 and #81. The findings included: 1. Review of the policy, titled, Eye Drops revised 04/25/17, documented, in part, Procedure: . 10. Pull lower lid gently downward to expose conjuctival sac [area of inner lower eye lid]. Instill eye drop per order in conjunctival sac. A medication pass observation was made on 04/26/23 beginning at 9:24 AM with Staff C, Licensed Practical Nurse (LPN), for Resident #158. The LPN obtained the medication Cyclosporin ophthalmic emulsion 0.05%, an antibiotic eye drop, to instill into the resident's left eye. Upon administration of the eye drop, the LPN stated, 'gonna go in the corner,' and administered the eye drop into the inner corner of the residents left eye, directly over the tear duct. During an interview on 04/26/23 at 9:33 AM, when asked why she administered the eye drop in the corner of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2022-01-13 · tag F0803 — failed to meet residents' dietary needs — widespreadEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observatioin , interview, and record review, it was determined that the facility failed to follow the approved menu for 88 of 88 facility residents that included: Regular Diet: Sampled Residents #1, #56, #36, #69, #53, #40, #27, #24, #9, ,#51, #19, #14, #71, #63, #52, , Puree Diet; Sampled Residents #22, #39, #48, Mechanical Soft Diet: Sampled Residents; #57, #66, #14, #26, #72, and #39. The findings included; 1) During the review of the approved menu for the lunch meal of 01/10/22 , the following were noted: *Regular Diet - Chicken Breast (3 ounce) with Spiced Peach Sauce, [NAME] Pilaf (#8 scoop), Normandy Vegetables (#8 Scoop), Pound Cake with Creme (1 slice). Mechanical Soft - Ground Chicken (#8 scoop) with 1 ounce Spiced Peach Soft, [NAME] Pilaf with 1 ounce of Thick [NAME] Sauce, Pureed Bread/Roll or Slurry , and Pureed Pond Cake with Creme Sauce. Pureed Diet - Pureed [NAME] Pilaf (#8 Scoop), Pureed Normandy vegetable (#8 scoop), Pureed Bread/Roll or Slurry, and Pureed/Slurry Pound Cake with Creme (#10 Scoop) Interview with the Breakfast/Lunch [NAME] (Staff #A) on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2022-01-13 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food serve safety; including ensure fresh ice is not being contaminated, silverware is handled in a safe and sanitary manor, cooking equipment is free of carbon build-up, and food storage shelving are being cleaned properly. The findings included; 1) During the kitchen/food service sanitation tour conducted on 01/10/22 at 9 AM accompanied with the Dietary Manager (DM), the following were noted: (a) Observation of the interior of the commercial ice machine noted the sides and top had a large growth of black mold type matter. The top of the ice level was in contact with the black mold type matter. The surveyor stated to the DM that there was potential that the ice was contaminated and there was a potential risk of resident illness. The surveyor requested that the machine be unplugged and drained and thoroughly sanitized prior to use. On 01/10/22 it was noted that an outside refrigeration/ice machine vendor was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-01-13 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 2 of 2 residential wings (East & West). The findings included: During the original environment tours conducted on 01/11/22 and 0112/22, and the final environment tour conducted on 01/13/22 at 9:45 AM, accompanied with the facility's Director Of Maintenance and Director Of Housekeeping, the following were noted: 1) East Wing: * Community shower #1 was noted to have a large thick black mold type substance covering the ceiling air-condition vent and surrounding ceiling area. It was also noted an additional large black mold type substance on the shower stall wall and floor. The room floor was also noted to be heavily stained and soiled with trash and what appeared to be hair. It was discussed with the Directors that there was a potential health hazard to facility residents utilizing the shower room. Following the observation, the room was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-01-13 · tag F0800 — patternProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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 provide a nourishing, palatable, well-balanced diet that met the nutritional needs of 88 of 88 facility residents, that included; Regular Diet: Sampled Residents' #1, #56, #36, #69, #53, #40, #27, #24, #9, ,#51, #19, #14, #71, #63, #52; Puree Diet: Sampled Residents' #22, #39, #48; and Mechanical Soft Diet: Sampled Resident's; #57, #66, #14, #26, #72, and #39. The findings included: 1. During the observation of the lunch meal on 01/10/22 at 11:30 AM, it was noted that the approved lunch menu was not followed for Regular Diets: Sampled Residents' #1, #56, #36, #69, #53, #40, #27, #24, #9, ,#51, #19, #14, #71, #63, #52; Puree Diet; Sampled Residents' #22, #39, #48, and Mechanical Soft Diet: Sampled Residents' #57, #66, #14, #26, #72, and #39. Interview with the breakfast/lunch cook (Staff A) stated that she does not follow the approved menu and prepares what ever she thinks the residents would like to eat for meals. Staff A also stated that often food is not delivered prior to the preparation of the meal. 2.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-01-13 · tag F0802 — failed to prepare enough nourishing food — patternProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, it was determined that the facility failed to employ sufficient staff with appropriate skills to carry out the functions of the food and nutrition services for 88 of 88 residents which included Sample Residents; #1, #56, #36, #69, #53, #49, #27, #24, #9, #57, #51, #19, #14, #26, #71, #63, #52, #22, #39, #48, #66, #26, and #72. The findings included: 1. During the observation of the lunch meal in the main kitchen on 01/10/22 and breakfast meal of 01/11/22, it was noted that the approved menu was not being followed for residents with Regular Diet , Mechanical Soft Diet, and Pureed Diet. Interview with the breakfast/lunch cook (Staff A) at the time of the observations noted to stated she does not follow the approved menu and makes her own decision of what she will prepare and serve on a daily basis, Staff A was also noted to state that the facility does not have food deliveries on a regular and timely basis to follow the approved menu. Staff A stated that she has not had in-service training on: following the approved menu, therapeutic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-01-13 · tag F0805 — failed to prepare food in a form residents can eat — patternEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on obserevation, interview, and record review, it was determined that the facility failed to prepare oatmeal in a form designed to meet the needs of 10 residents (includes Residents #22, #39, and #48) with physician ordered dysphagia pureed diet. The findings included: During the observation of the breakfast meal in the main kitchen on 01/11/22 at 7:30 AM accompanied with the facility's Licensed Dietitian, the following was noted: 1) The cooked pureed oatmeal identified by the cook (Staff A) appeared to be very lump and had notable large pieces of Oatmeal. At the request of the surveyor , at taste test of the pureed cooked cereal was conducted along with the facility's Dietitian. The result of the testing noted the cereal was not smooth and had large chunks of Oatmeal. The surveyor requested that the Oatmeal not be served to Pureed residents until the mixture was blended to the correct smooth pureed consistency. 2) Interview conducted with the breakfast/lunch cook (Staff A) on 01/11/22 revealed that she does not follow standardized recipes for the preparation of pureed foods.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-01-13 · tag F0809 — failed to serve meals on a reasonable schedule — patternEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on Observation, interview, and record review, it was determined that the facility failed to provide meals at regular times comparable to normal times in the facility for 47 residents residing on the East Wing. Of the 47 residents it was noted that the following were sampled residents #40, #27, #24, #9, #57, #51, 19, #14, #26, #71, #63, #52, #22. The findings included: During the observation of the lunch meal on 01/11/22 at 11:30 AM, it was noted the 12 facility residents were seated in the East Dining Room awaiting the delivery of the lunch meal . Further observation noted at 12:30 PM the residents began get visually and verbally upset that the lunch meal had not been delivered. At 1:15 PM it was noted that 2 residents ( Resident # 14) became very upset , began to yell and had to be taken away from the dining room area to reduce their anxiety with the late meal. At 1:15 PM the surveyor contacted the administrator and requested to be informed of why the late meal service was occurring. The administrator stated she was unaware why the issue was occurring. At 1:35 PM the first…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-13 · tag F0585 — failed to handle grievances — isolatedHonor 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 address a residents' grievance in a timely manner for 2 of 2 sampled residents reviewed for grievances, Resident #66, and Resident #382. The findings included: 1) During an interview on 01/10/22 at 12:41 PM, the daughter of Resident #66 stated that her mother's quilt went missing about 6 months ago, when visitors could not come in to visit during COVID times. When she was allowed to visit, she went looking for the quilt and was unable to find it, she addressed her concerns with a case manager and then again in December 2021 with the Administrator. A review of the grievance log revealed there is no grievance documented for this concern. During an interview on 01/12/22 at 8:56 AM with the Administrator (NHA), she acknowledged that she spoke to the daughter of this resident in 12/21 and was aware of the daughter's concerns about the missing quilt, she mentioned it to me, and I looked in laundry, but forgot to call her to tell her that I did not see it.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-13 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide ongoing activity program to meet the residents' needs for 3 of 6 sampled residents reviewed for activities, Residents #1, #532, #69. The findings included: 1). Resident #1 was initially admitted on [DATE] and discharged on 06/10/21. Resident was readmitted for current stay on 01/03/22. According to a 'Resident Data Set' evaluation, completed on 01/03/22, Resident #1 had a BIMS score of 8, indicating 'moderately impaired'. A 'Therapeutic Recreation/Activity Review', date 01/07/22, documented that the resident did not require a care plan for activities as, This resident can communicate her needs and preferences and her own independent leisure activity. Activity staff will visit for social interaction and provide activity supplies. The assessment documented resident's participation in the assessment. The assessment documented that Resident #1's interests for Activities included: Group activities, Independent activities, Day/Activity…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-01-13 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to follow physician orders for obtaining blood sugar levels and blood pressure parameters and notify the physician when the resident's blood sugar level was below 60 or above 250 for 2 of 2 sampled residents reviewed for following physician orders, Resident #20 and Resident #72; and failed to follow physician's orders to obtain daily weights for 1 of 2 sampled residents reviewed for following physician's orders, Resident #72. The findings included: 1) A record review for Resident #20 revealed that this resident was admitted to the facility on 12/20/20 with a diagnosis to include Type II Diabetes, Chronic Kidney Disease, Hypertension, Atrial-Fibrillation, Congestive Heart Failure, Cardiac Pacemaker, Muscle Weakness, Neuropathy, Difficulty Walking, Morbid Obesity, and Chronic Obstructive Pulmonary Disease. A review of the Physician Orders, revealed documentation that Resident #20 was to haved accu checks four times a day. Blood sugars less than 60 or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to SOVEREIGN HEALTHCARE HOLDINGS — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 3.7 | +1.3 vs chain |
| Health inspection | 4 of 5 | 3.2 | +0.8 vs chain |
| Staffing | 4 of 5 | 3.1 | +0.9 vs chain |
| Quality measures | 5 of 5 | 4.5 | +0.5 vs chain |
The other 42 homes this chain runs (chain average 3.7★, per CMS)
Showing 40 of 42; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| CRONQUIST, ROYCE | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 10/11/2017 |
| MANGINE, JOHN | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/25/2012 |
| BERKADIA COMMERCIAL MORTGAGE LLC | Organization | 5% OR GREATER SECURITY INTEREST | since 09/23/2014 |
| FL PALM CITY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF | since 05/19/2009 |
| HEALTH SERVICES PROPERTIES LLC | Organization | 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF | since 05/19/2009 |
| BELL, CHARLES | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 09/15/2016 |
| CHERY, DAWN | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 01/01/2025 |
| KAAR, SUSAN | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 10/01/2003 |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2003 |
| BOWERS, APRIL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 10/13/2023 |
| MELTON, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/15/2009 |
| NOTERMANN, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| PATEL, SHEERIN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/01/2020 |
| NOTERMANN, BRENDA | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 10/10/2025 |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | since 01/01/2025 |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | Organization | ADP OF THE SNF | since 05/19/2009 |
| KELLY, MICHELLE | Individual | ADP OF THE SNF | since 02/01/2018 |
CMS files one row per role, so the 30 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $666K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105831. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-07-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.