Gulfport Nursing Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

37.3% 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 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.4% 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 26 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 0.29 therapist hours per resident per day in 2026Q1 — more than 46% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 126 beds and averages 44.0 residents a day — about 35% occupied, or roughly 82 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.23 hrs/resident/day on weekends vs 3.74 on weekdays — 14% thinner on weekends. RN hours go from 0.66 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as 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

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

Inspection deficiencies

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

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

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

• Immediate jeopardy · J2025-06-13 · 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 interviews and record review, the facility failed to protect the resident's right to be free from neglect related to proper use of mechanical lifts during transfers for two residents (#14 and #4) out of 21 residents dependent on mechanical lifts for transfers. The facility neglected to properly assess Resident #14 for the use of a mechanical lift and failed to educate staff to implement proper transfer methods, resulting in a major injury that occurred on 05/12/2025 resulting in Resident #14 being transferred to a higher level of care and required surgical repair of a spiral comminuted fracture of the right femur. The facility's neglect resulted in physical pain and psychosocial suffering for Resident #14. This neglect created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #14 and Resident #4 and resulted in the determination of Immediate Jeopardy on 05/12/2025. The findings of Immediate Jeopardy were determined to be removed 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2025-06-13 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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 observations, interviews, and record review, the facility failed to ensure licensed nursing staff were knowledgeable and competent to provide care and services to include safe mechanical lift transfers for two residents (#4 and #14) out of twenty-one dependent residents sampled. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #14, with potential to affect all residents who are dependent on mechanical lifts for transfers. This failure resulted in the determination of Immediate Jeopardy on 06/13/2025. The findings of Immediate Jeopardy were determined to be removed on 6/13/2025 and the severity and scope was reduced to a D after verification of removal of immediacy of harm. Findings Included: 1. On 6/10/2025 at 3:20 p.m. an interview was conducted with six Certified Nursing Assistants (CNAs) Staff C, H, I, E, J, K, and two Licensed Practical Nurses (LPN) Staff G and L. They stated in order to find out what residents 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-08-11 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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 record review, policy and procedure review, and interviews with facility staff, agency nursing staff, and the key management staff the facility failed to ensure the nursing staff received adequate orientation and training to ensure competency in completing the admission/readmission process in a timely manner for one resident (#1) out of three residents reviewed for re-admission. The facility failed to ensure nursing staff received adequate orientation and training to ensure competency in completing the medication reconciliation. The facility nursing staff failed to reconcile the medication by not entering the physician orders into the facility's system to ensure nursing staff administered medication according to the physician orders for three residents (#1, #11, and #19) out of three residents reviewed for re-admission to the facility. Resident #1 returned to the facility on 7/28/23 from the hospital. Upon return, the facility did not implement admission procedures. The resident was not entered into 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-13 · 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 interviews and record reviews the facility failed to have sufficient nursing staff with the appropriate skills and competencies to provide intravenous services to two (Residents #2 and #4) of two residents sampled. Findings included: 1. A review of Resident #2's admission Record showed he was admitted to the facility on [DATE] with diagnoses including but not limited to cellulitis of left lower limb, peripheral vascular disease, and polyneuropathy. A review of Resident #2's Minimum Data Set (MDS), dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14 indicating cognitively intact. A review of Resident #2's physician orders revealed the following intravenous (IV) orders:Insert Midline, dated 3/3/2026.Insert Peripherally Inserted Central Catheter (PICC), dated 3/4/2026.Change dressing on admission or 24 hours after insertion and weekly ther after and as needed (PRN) for IV site, dated 3/3/2026.Vancomycin HCl Intravenous Solution 1000 MG (milligram)/200ML (milliliter) - Use 1000 mg…

  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 · D2025-12-15 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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, observation, and interview, the facility failed to ensure a comprehensive person-centered care plan was developed to include a discharge plan for one (#5) of five sampled residents. Resident #5 had no discharge plan documented in her care plan. Findings included:A review of Resident #5's admission record, documented an admission of 08/14/2025. Her diagnoses list included but not limited to: Sepsis, unspecified organism; pressure ulcer of sacral region, stage 4; chronic kidney disease stage 2; other bacterial agents of the cause of diseases classified elsewhere; muscle wasting; need for assistance with personal care and chronic embolism and thrombosis of unspecified deep vein of lower extremity bilateral.A review of Resident #5's Hospital Record, History and physical, dated 08/09/2025, documented, biba (brought in by ambulance) from home sepsis alert per ems (emergency medical services) patient has been confined to a chair dt (due to) generalized weakness x 1 week covered in urine 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-06-13 · tag F0628 — widespread
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to notify the Long-Term Care Ombudsman in writing of transfers and discharges for five residents (#48, #34, #304, #302, and #17) out of eight residents reviewed. Findings included: Review of the Resident #302's admission record showed 5/8/25, admission date. Review of Resident # 302's Nursing Home Transfer and Discharge Notice (NHTDN), dated 5/19/25 did not show the local Long Term Care Ombudsman was notified of the transfer to the hospital. Review of the Resident #48's admission record showed 5/19/25, initial admission date and 6/3/25 admission date. Review of Resident # 48's NHTDN notice dated 5/27/25 did not show the local Long Term Care ombudsman was notified of transfer to the hospital. Review of the Resident #34's admission record showed 7/22/24, initial admission date and 5/17/25 admission date. Review of Resident # 34's NHTDN notice dated 4/22/25 did not show the local Long Term Care Ombudsman was notified of transfer to the hospital. Review of the Resident #17's admission record showed 6/26/25, initial admission…

  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 · F2025-06-13 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to have eight consecutive Registered Nurse (RN) hours 7 days a week. Findings Included: Review of Payroll Based Journal (PBJ) Data for Fiscal Year (FY) Quarter 1 2025 (October 1-December 31) revealed no RN Hours were Triggered on 10/05/2024; 10/12/2024; 10/13/2024; 10/19/2024; 10/26/2024; 10/27/2024; 11/09/2024; 11/10/2024; 11/16/2024; 11/23/2024; 11/24/2024; 11/30/2024 and 12/15/2024. Review of Daily timecard reports dated 10/05/2024, 10/12/2024, 10/13/2024, 10/19/2024, 10/27/2024, 11/09/2024, 11/10/2024, 11/16/2024, 11/23/2024, 11/24/2024, 11/30/2024 and 12/15/2024 revealed no RN Hours. During an interview on 06/12/2025 at 11:58 a.m., Staff R, Staffing Coordinator, stated she is responsible for making the schedules for the RN's and Certified Nursing Assistants (CNA). She siad, It's been a while since I have had any training. Human Resources (HR) is responsible for submitting the data to PBJ. She stated they do not have enough RNs and currently have concerns with nursing hours. She stated in October and November of 2024…

  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 · E2025-06-13 · tag F0880 — failed to prevent and control infections — pattern
  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 observations, interviews and manufacture recommendations, the facility failed to ensure two of the two washing machines' chemical levels adhered to regulations and industry standards. Findings included: During an interview and observation of the laundry room conducted on 6/11/25 at 1:53 P.M., the Environmental Services (EVS) Director said he did not know when the washing machines' chemical dispensers were checked/calibrated to ensure the appropriate amount of chemicals were dispensed into each load. The EVS director was not aware of scheduled maintenance of the chemical dispensers by the vendor. During an interview on 6/11/25 at 2:38 P.M. the Nursing Home Administrator (NHA) was unable to provide invoices showing the chemical dispensers were checked/calibrated and stated the vendor was not scheduled to calibrate the chemical dispenser on a routine basis. During a follow-up interview on 6/11/25 at 3:14 P.M. the NHA said the chemical dispenser vendor had been scheduled to check and service the chemical dispensers. The NHA could not show regular machine inspections 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to complete/update the Pre-admission Screening and Resident Reviews (PASARRs) for residents with a mental disorder and individuals with intellectual disability following qualifying mental health diagnoses for two (#39, #40) of six residents reviewed for PASARRs. Findings included: 1 Review of the admission record showed Resident #40 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses to include anxiety disorder-1/14/25 and bipolar II disorder. Review of a level I PASARR for Resident #40 dated 11/12/24 revealed a substance abuse diagnosis was the only qualifying diagnoses checked. The review showed the Level I PASARR was incomplete, and a level II was not submitted for consideration following qualifying diagnoses. 2. Review of Resident #39's admission record revealed an admission date of 02/14/2025. Resident #39 was admitted to the facility with diagnosis to include major depressive disorder, recurrent, moderate, 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to provide Activities of Daily Living (ADL) transfers for one resident (#101) of fourty sampled residents related to choosing to get out from bed and to the wheelchair. Findings included: On 6/9/2025 at 11:15 a.m. Resident #101 was visited while in his room. Resident #101 was observed to be large in stature and was noted lying under the covers in a large bed. His over the bed table was placed in front of him with various things to include electronic phone devices, magazine, full cup of hydration that was dated for the current day 6/9/2025. The call light was placed within his reach and he was not presenting with any behaviors, pain or discomfort. Resident #101 revealed he was admitted at the facility about two weeks ago and that he came from the hospital to receive Physical Therapy for his right foot. He revealed he had broken his ankle and at this point he needs staff to assist him with transfers from out of bed to his wheelchair 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 · D2025-06-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to ensure a contracture management program was provided for one resident (#20) of four sampled residents related to donning a hand splint/carrot splint to prevent further range of motion decline. Findings included: On 6/9/2025 at 10:30 a.m., 12:50 p.m., 2:00 p.m., and 2:50 p.m., Resident #20 was observed noted in her room and lying in a low bed and under the covers. Her legs were observed sticking out from the bed linen and with the Head Over Bed (HOB) at approximately twenty degrees. Resident #20 was observed flailing her hands in the air, but did not appear to be in any distress. Resident #20's Left upper extremity (Left Hand) was observed contracted. Neither of her hands were observed with splints, hand carrots or orthotics on. Further observations in her room revealed there were no splints/hand carrots laying on them. Resident #20 was not able to be interviewable. On 6/9/2025 at 2:55 p.m. an interview with the resident's assigned…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record reviews, and interviews, the facility failed to provide care and services according to professional standards of practice and facility policy, failed to prepare IV (intravenous) medications immediately before administering and failed to prime IV tubing for one resident (#301) of one resident observation of parenteral fluids administration. Findings included: During an observation on 6/10/25 at 8:14 A.M., Staff L, Licensed Practical Nurse (LPN) preparing and administering IV antibiotic to Resident #301. Staff L, LPN removed a reconstituted vial labeled Cefepime 2 gm (grams)containing clear liquid fluid, which was attached to a medication bag containing clear liquid. Staff L, LPN said she combined the powered antibiotic and fluid in the medication bag at the beginning of her shift. While standing at the medication cart, Staff L, LPN, spiked the IV bag with IV tubing and was unable to remove all the liquid from the vial. Staff L, LPN disposed of the medication and retrieved a different vial containing a Cefepime (white powder) and a new medication bag of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record reviews the facility failed to develop a Post-Traumatic Stress Disorder (PTSD) care plan for one resident (#44) of two reviewed for mood and behavior. Findings included: Review of Resident 44's admission record revealed an admission date of 4/5/25 with diagnoses to include multiple fractures of the femur, acetabulum, ulna, left foot, lung contusion, and a diagnosis of PTSD was not listed. The review showed the injuries were sustained during a motor vehicle collision with one casualty. Resident #44's order summary report, dated 6/11/25 showed Prazosin HCL 4mg (milligrams) at bedtime for PTSD nightmares, Temazepam 15mg at bedtime for insomnia. Review of Resident #44's Minimum Data Set (MDS) admission, dated 4/12/25, Section C, Cognitive Pattern showed Brief Interview for Mental Status (BIMS) summary score of 15, indicating intact cognition. Review of Resident #44's Preadmission Screening and Resident Review (PASARR), Level 1 screen, section I, did not show diagnosis for Mental Illness (MI) or suspected MI. A follow-up PASARR was not…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$6,705 in federal fines across 2 penalties.

• $3,529 — penalty dated 2023-08-28
• $3,176 — penalty dated 2023-08-21

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

CMS files one row per role, so the 10 rows in the source record cover these 6 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.

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.

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 $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL