Coral Bay At Pensacola, LLC

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.

37.8% 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 44 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.0% 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 69 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 0.23 therapist hours per resident per day in 2026Q1 — more than 30% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 210 beds and averages 180.7 residents a day — about 86% occupied, or roughly 29 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 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 3.33 hrs/resident/day on weekends vs 3.96 on weekdays — 16% thinner on weekends. RN hours go from 0.63 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

35 citations, most serious first. The 17 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Ldisputed · IIDR2026-01-19 · tag F0584 — failed to keep a safe, clean, comfortable home — widespread
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and record reviews, the facility failed to provide a safe living environment for 187 of 187 residents by failing to maintain the facility's Automatic Fire Sprinkler System (AFSS). The facility failed to implement proper fire watch protocol per statute to ensure the safety of the residents. This failure in maintaining fire protection equipment and practices has the potential to affect 187 residents.Additionally, the facility failed to store resident care equipment in a sanitary manner in 2 of 7 sampled resident rooms observed. (Rooms 306, 308)Additionally, the facility failed to ensure the environment remained free of potential hazards for 1 of 1 resident reviewed for accidents (Resident #160).The findings include: According to the Life Safety Survey, the facility was notified on 01/14/2026 that it was under Immediate Jeopardy due to the sprinkler system being non operational since 05/05/2025. The system had been red tagged, indicating it would not perform as required in the event of a fire.…

  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
• Immediate jeopardy · Ldisputed · IIDR2026-01-19 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  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 upon interviews, observations, and record and policy reviews, the facility neglected the safety and wellbeing of all 187 residents of the facility by failing to repair the Automatic Fire Sprinkler System (AFSS). The sprinkler system and fire pump have been red tagged since May 5, 2025, with no attempts to fix the problems. The facility failed to implement proper fire watch protocol per statute to ensure the safety of the residents. Additionally, the facility failed to protect residents from abuse for 1 of 3 residents reviewed for abuse. (Resident #205)The findings include: 1) A tour of the facility was conducted on 1/12/2026 by the Life Safety surveyor at 12:00 PM. During this tour, the surveyor noted the automatic fire sprinkler system (AFSS) and Fire Pump were red tagged and had been since 5/5/2025, indicating that the fire suppression system would not function as expected in the event of a fire. As of this annual survey, the facility failed to make the repairs to the automatic fire sprinkler system.…

  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 · Ldisputed · IIDR2026-01-19 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and interviews, the facility administrative staff failed to use all available resources effectively and efficiently to maintain the facility in a safe manner and ensure the facility's fire suppression system was repaired in a timely manner. The facility Administrator also failed to ensure residents were kept safe from sexual abuse by failing to address a resident's report of staff to resident sexual advances for 1 of 3 resident sampled for abuse. (Resident #205) The findings include:A tour of the facility was conducted on 1/12/2026 by the Life Safety surveyor at 12:00 PM. During this tour, the surveyor noted the Automatic Fire Sprinkler System (AFSS) and fire pump were red tagged and had been since 5/5/2025, indicating that the fire suppression system would not function as expected in the event of a fire. As of this annual survey, the facility failed to make the repairs to the automatic fire sprinkler system. Additionally, there were two subsequent red tags on each system, dated from August 2025 and November 2025.An interview was conducted with the facility…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Ldisputed · IIDR2026-01-19 · tag F0836 — widespread
  Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
  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 review of the Florida Administrative Code, National Fire Protection Association (NFPA) 101 and interview, the facility failed to comply with Federal, State, and Local Laws and Professional Standards by failing to have a functional fire suppression system since May 5, 2025. The facility must operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards and principles that apply to professionals providing services in such a facility. The findings include:A tour of the facility was conducted on 1/12/2026 by the Life Safety surveyor at 12:00 PM. During this tour, the surveyor noted the Automatic Fire Sprinkler System (AFSS) and fire pump were red tagged and had been since 5/5/2025, indicating that the fire suppression system would not function as expected in the event of a fire. As of this annual survey, the facility failed to make the repairs to the AFSS. Additionally, there were two subsequent red tags 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Ldisputed · IIDR2026-01-19 · tag F0837 — widespread
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and electronic mail correspondence (email), the governing body failed to assume responsibility for the protection of all 187 residents by failing to act in a timely manner in regard to the failing fire suppression system.The findings include:A tour of the facility was conducted on 1/12/2026 by the Life Safety surveyor at 12:00 PM. During this tour, the surveyor noted the automatic fire sprinkler system (AFSS) and fire pump were red tagged and had been since 5/5/2025, indicating that the fire suppression system would not function as expected in the event of a fire. As of this annual survey, the facility failed to make the repairs to the automatic fire sprinkler system. Additionally, there were two subsequent red tags on each system, dated from August 2025 and November 2025.On 1/17/26 at approximately 4:49 PM an email was sent to the Chief Executive Officer (CEO) who responded on 1/17/26 at 7:30 PM. The following questions and responses were communicated in the email: Were you notified by the facility regarding the fire pump and the sprinkler heads not passing…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Ldisputed · IIDR2026-01-19 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, and facility policy review, the facility failed to utilize its Quality Assurance and Performance Improvement (QAPI) process to identify and correct quality deficiencies that posed a likelihood of immediate jeopardy to the health and safety of its residents. The facility failed to report and appropriately respond to a fire event, with prior knowledge that the sprinkler system was not functioning at full operational capacity, placing residents at increased risk for serious harm during an emergency. The findings include:A tour of the facility was conducted on 1/12/2026 by the Life Safety surveyor at 12:00 PM. During this tour, the surveyor noted the automatic fire sprinkler system (AFSS) and Fire Pump were red tagged and had been since 5/5/2025, indicating that the fire suppression system would not function as expected in the event of a fire. As of this annual survey, the facility failed to make the repairs to the automatic fire sprinkler system. Additionally, there were two subsequent red tags on each system, dated from August 2025 and November 2025.…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Ldisputed · IIDR2026-01-19 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  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 a safe living environment for all residents by failing to maintain the Automatic Fire Sprinkler System (AFSS). This can result in the system not activating as designed and has the potential to affect all 187 residents.Additionally, the facility failed to ensure the environment remained free of potential hazards for 1 of 1 resident reviewed for accidents (Resident #160).The findings included:A tour of the facility was conducted on 1/12/2026 by the Life Safety surveyor at 12:00 PM. During this tour, the surveyor noted the automatic fire sprinkler system (AFSS) and fire pump were red tagged and had been since 5/5/2025, indicating that the fire suppression system would not function as expected in the event of a fire. As of this annual survey, the facility failed to make the repairs to the automatic fire sprinkler system. Additionally, there were two subsequent red tags on each system, dated from August 2025 and November 2025.An interview was conducted with the facility Maintenance Director 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-12 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 ensure a resident's medical record accurately reflected the resident condition for 3 out of 3 resident records reviewed (Resident #1, #2, #9).The findings include: Resident #9 A review of Activities of Daily Living (ADL) task documentation for Resident #9 showed entries indicating that he ambulated 150 feet independently on 02/11/2026 at 3:41 AM, with partial assistance on 02/07/2026 at 2:59 PM, and with supervision on 02/03/2026 at 2:59 PM and 01/31/2026 at 6:59 AM. Documentation also reflected that Resident #9 transferred from bed to chair independently on 02/11/2026 at 3:40 AM, with supervision on 02/03/2026 at 2:59 PM, 01/31/2026 at 6:59 AM, and 01/30/2026 at 6:37 AM. A review of diagnoses confirmed that Resident #9 was a paraplegic. Observations made on 2/11/2026 and 2/12/2026 revealed that Resident #9 was bed bound with no active movement in his lower extremities. During an interview on 2/11/2026 at 2:25 PM, Staff T, Licensed Practical Nurse (LPN) and Staff U, Certified Nursing Assistant (CNA)…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-12 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to ensure the protection of residents' personal privacy and confidentiality of medical information due to staff utilizing personal cellular phones to take photographs and videos of residents for the purpose of communicating clinical concerns to the facility's Nurse Practitioner for 1 of 3 residents reviewed for personal privacy (Resident #2).The findings include: Review of a narrative nursing note, dated 01/20/2026, revealed that Resident #2 was observed by nursing staff sliding himself on the floor while yelling and screaming with abdominal pain.A written email statement by the facility's Nurse Practitioner (NP), dated 01/21/2026, was reviewed. In her statement, she reported that she was contacted by staff who provided a video of Resident #2 and requested clinical guidance based on these behaviors.On 02/09/2026 at approximately 3:35 PM, an interview was conducted with Staff A, Registered Nurse (RN). Staff A stated that, on 01/21/2026, she took a video recording of Resident #2 on her personal cell phone to send to the NP.…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-19 · 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 upon observations, interviews, and facility policy review the facility failed to prevent the spread of infections by not performing hand hygiene during wound care for 5 of 5 residents observed for proper infection control. (Residents #32, #53, #15, #17, #144)The findings include: On 01/13/26 at 12:00 PM, a wound care observation for Resident #53 was conducted with Staff B, Registered Nurse (RN). Staff B did not provide a barrier for clean dressing supplies; she placed clean dressing supplies on his bed. She did not remove her gloves or wash her hands after removing the soiled dressing and prior to applying the clean dressing to cover the resident's wound. 2. On 01/13/26 at 12:20 PM, an observation conducted of Resident #32 revealed a wound to his left heel. He was noted to be on contact isolation for infection of the wound. Staff B did not place a barrier prior to placing clean dressing supplies on Resident #32's bed. After removing the soiled dressing from his left heel, Staff B placed the soiled dressing on the bed next to the clean supplies. Staff B cleaned the wound 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-19 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure a resident's dignity was maintained by failing to provide appropriate clothing 1 of 6 resident reviewed for dignity (Resident #106).The findings included:A review of Resident #106 Quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #106 had Brief Interview for Mental Status (BIMS) (BIMS is a standardized tool used assess cognitive function) of 03, indicating Resident #106 has severe cognitive impairment. Review of this MDS revealed Resident #106 was dependent on staff for her Activities of Daily Living (ADL)On 1/12/2026 at approximately 12:45 PM, Resident #106 was observed sitting in her room in a wheelchair. The resident was dressed in a cardigan with only one middle button secured, with her upper chest and lower abdomen exposed, wearing an adult brief, eating her lunch. Resident #106 stated, I don't have any clothes. The door of Resident #106's closet had a sign indicating her family was responsible for doing her laundry. An…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-19 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure residents were able to exercise their rights for care and services regarding scheduled daily routines and failed to provide appropriate therapy or restorative services to improve mobility and strength for 1 of 14 resident reviewed for right to self determination. (Resident #123)The findings included:Review of the facility policy for Activities of Daily Living (ADLs), dated March 2018, revealed residents will be provided with care, treatment, and services as appropriate to maintain or improve their ability to carry out activities of daily living. Residents who are unable to carry out ADLs independently will receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene. Policy interpretation and implementation stated: appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-19 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to provide appropriate privacy while personal care was being administered by a staff member for 1 of 7 resident reviewed for personal privacy (Resident #62).The findings included:An observation conducted on 1/12/2026 at 1:45 PM revealed Resident #62's room door was fully open, and the privacy curtain was not pulled closed. Continued observation revealed Staff Q, Certified Nursing Assistant was standing at Resident #62's bedside, performing incontinent care. Resident #62 was wearing a facility gown. The gown was pulled up to her upper torso, revealing she was not wearing an incontinent brief. No bed covers were covering Resident #62 during this care. Resident #62's body was exposed and visible from the hallway while other residents were observed passing in front of her room. When Staff Q completed her task, she stated to the surveyor, you can come in, I am just wiping her face now.An interview was conducted with Staff Q at this time. When asked why she had not provided privacy for Resident #62, Staff Q stated, Oh, my bad. Yes,…

  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 · D2026-01-19 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to maintain a grievance protocol to properly identify, investigate, and resolve grievances for 1 of 6 resident reviewed for grievances (Resident #123).The findings included:Review of the facility's grievance log was conducted with the Social Worker (SW) and Grievance Official. They both independently reviewed the paper grievance log and compared it with the facility's electronic grievance system.A grievance dated 10/08/25 for Resident #123 was reviewed. The grievance stated, staff refused to dry her after providing incontinence care. The documented Actions stated, It appears to be lunch time when staff cannot toilet residents. The SW acknowledged this was not an appropriate resolution and stated he did not know what actions the unit manager took to address this concern.A grievance dated 11/08/25 for Resident #123 was reviewed. The grievance stated, the resident waited 30 minutes after activating the call light before being changed. The documented Actions stated, some sort of confabulation,. There was no evidence showing how…

  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 · D2026-01-19 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to immediately identify and timely report an allegation of sexual abuse for 1 of 3 residents sampled for abuse. (Resident #205) The findings include:A record review was conducted for Resident #205 revealed a note written by the facility Risk Manager (RM) dated 1/13/26 at 9:00 AM. The note indicated that on 1/13/26, Resident #205 confided in an employee an allegation of inappropriate sexual conduct by a former employee who worked at the facility in the previous year. During interviews on 1/13/26, Resident #205 revealed that a former therapy aide (who no longer works at the facility at the time of the survey) would ask to be her boyfriend and would ask inappropriate things, such as asking for oral sex. On 1/15/26 at approximately 10:30 AM, an interview was conducted with the RM. The RM stated she did not report the abuse to the state agency, citing the resident had the right to decline law enforcement, and that Resident #205 claimed that it was not abuse. On 1/15/26 at approximately 1:15 PM, an additional interview 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-19 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, and policy review, the facility failed to ensure an allegation of sexual abuse was reported to the State Survey Agency, Law Enforcement, and Adult Protective Services within two hours of the allegation, and failed to ensure a thorough investigation was conducted of the allegation to protect residents for 1of 1 residents reviewed for mandated reporting (Resident #205) The findings include:During review of Resident #205's record, a note written by the facility's Risk Manager was reviewed. the note was written on 1/13/2026 at approximately 9:00 AM. this note indicated the facility's Risk Manager (RM) and Administrator were told by the Director of Rehabilitation (DOR) of an allegation of sexual misconduct involving Resident #205 and a former employee after it was revealed during a routine interview conducted during the survey process. During interviews on 1/13/26 by the RM, Resident #205 revealed that a former therapy aide (who no longer works at the facility at the time of the survey) would ask to be her boyfriend and would ask inappropriate things,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-19 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 ensure the Minimum Data (MDS) Assessment accurately coded to reflect active diagnoses for 1 of 4 residents sampled for resident assessments. (Resident # 205)The findings included:Review of Resident #205's electronic medical record (EMR) revealed a Quarterly Minimum Data Set (MDS) dated [DATE] that indicated Resident #205 did not have a diagnosis of Post Traumatic Stress Disorder (PTSD).A review of the Care Plan dated 12/11/2025 revealed that Resident #205 has PTSD related to survivor of sexual abuse/violence as a child, and a car accident, causing major injuries or complications, date 8/31/2022 with a revision on 9/30/2025.A review of Resident 205's diagnoses revealed no medical history of PTSD documented.A review of a Licensed Mental Health Counselor Diagnostic Assessment completed on 7/31/2025 revealed Resident #205 had an extensive history of childhood sexual trauma and that she experienced symptoms and nightmares stemming from two major motor…

  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

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$108,665 in federal fines across 1 penalty.

• $108,665 — penalty dated 2026-01-15

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 30 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 80% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $5.3M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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.

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