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Solaris Healthcare Charlotte Harbor

4000 Kings Hwy, Port Charlotte, FL 33980 · Non profit - Corporation · 180 certified beds · (941) 255-5855 Medicare & Medicaid certified

Call the home — (941) 255-5855 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Nov 2023Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2023
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • 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.

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

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

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4235 Kings Hwy · (941) 613-1777 · Call to confirm hours
Pharmacy
4478 Tamiami Trl · (941) 235-1120 · Call to confirm hours
Grocery
4678 Tamiami Trl · (941) 310-0731 · Call to confirm hours
Park
23157 Bayshore Rd · (941) 627-1628 · Typically dawn to dusk
Place of worship
23190 Utica Ave · (941) 625-2116

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 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased8.5%8.7%15.4%better
Long-stay residents who lose too much weight3.3%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.6%0.3%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms2.3%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.1%2.5%3.3%typical
Long-stay residents whose ability to walk worsened9.3%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.2%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers3.2%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control10.1%10.5%21.2%typical for the state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table9.8%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.2%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine94.1%94.7%79.4%better
Short-stay residents rehospitalized after admission26.6%26.1%22.6%worse
Short-stay residents with an outpatient ER visit6.6%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.262.131.67better
Long-stay outpatient ER visits per 1,000 resident days0.591.151.80better

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.

64.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 547 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.1%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
56.2%U.S. median 56.6%
Met the expected recovery
0.42U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.09hours / resident / day
Speech therapy

Met the expected recovery: 56.2% 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 258 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 0.42 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 31% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF64.1%CMS range 59.3–67.651.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 7.3–11.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge56.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge58.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge57.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.9%CMS range 5.8–10.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.251.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.53
RN hours/ resident / day
0.88
LPN hours/ resident / day
2.20
Aide hours/ resident / day
3.61
Total nurse hours/ resident / day
0.46
RN hoursweekends
47.3%
Total nursing turnover
32.0%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 172.6 residents a day — about 96% occupied, or roughly 7 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 3.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 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 3.29 hrs/resident/day on weekends vs 3.73 on weekdays — 12% thinner on weekends. RN hours go from 0.56 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% 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

5
deficiencies at the latest standard inspection (2023-11-02)
1
at the previous standard inspection (2022-02-03)

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.

ABCDEFGHIJKL

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

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · D2026-03-18 · 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

    Based on record review, review of facility policy, resident and staff interviews, the facility failed to ensure staff provided care and services with respect and dignity to 1 (Resident #999) of 4 sampled residents.The findings included:Review of the undated facility policy Resident Mistreatment, Neglect and Abuse Prohibition Guidelines documented, The facility is committed to protecting the physical and emotional well-being and personal possessions of every resident. Each facility has systems procedures and a program of employee training and supervision in place to foster dignified treatment, respect and compassion for residents .On 3/18/26 at 9:01 a.m., Resident #999 was observed in his room in bed. In an interview, the resident said he recalled an incident when he was sleeping soundly and a Certified Nursing Assistant (CNA) woke him up to change him. He asked her to wait 30 minutes, she said no and said she had to change him right now. Resident #999 said the CNA kept insisting and he kept refusing. She left the room and came back with a nurse and another CNA. The nurse told him he…

    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 · E2025-04-07 · tag F0943 — pattern
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on Interview and Record review, the facility failed to provide training that supports current scope and standards of practice through curricula which detail learning objectives, performance standards and evaluation criteria for 3 (Staff A, B, C) of 5 staff reviewed for abuse and neglect training. The findings included: Review of the Facility policy on Abuse Protection and Response last revised 1/22 which stated, The center will train staff, through orientation and ongoing in services in abuse prevention and response. Record review of Certified Nursing Assistant (CNA) Staff A hired on 4/24/24 showed she did not receive Abuse and Neglect training that detailed learning objectives, performance standards and evaluation criteria. Record review of Registered Nurse (RN) Staff B hired on 4/10/24 showed she did not receive Abuse and Neglect training that detailed learning objectives, performance standards and evaluation criteria. Record review of CNA Staff C hired on 4/10/24 showed she did not receive Abuse and Neglect training that detailed learning objectives, performance standards…

    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 · Ecited before2024-05-09 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, review of facility policy and procedures, staff and resident interviews the facility failed to provide the appropriate and necessary care and services to maintain personal hygiene for 3 (Resident #1, #900 and #999) of 4 residents reviewed for activities of daily living care. The findings included: The facility policy Activities of Daily Living (ADL), supporting (revised 1/30/24) documented, Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. Appropriate care and services will be provided for residents who are unable to carry out ADL's independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: Hygiene (bathing, dressing, grooming and oral care). If residents with cognitive impairment or dementia resist care, staff will attempt to identify the underlying…

    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 · Ecited before2023-11-02 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    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 5. Review of the clinical record revealed Resident #105 had an admission date of 3/5/19. Diagnoses included Alzheimer's disease, depression, and dementia. The Annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #105's cognition was significantly impaired, and a Brief Interview for Mental Status (BIMS) score could not be assessed. Resident #105 was frequently incontinent of bowel and bladder. Review of Resident #105's Care plan revealed the resident had impaired toileting and occasional frequent bladder and bowel incontinence related to diagnosis of Alzheimer's disease with severe cognitive deficit and inability to retrain. The resident was to be toileted every two hours while awake and as needed. The resident was to be kept in a clean and comfortable condition. On 10/31/23 at 10:13 a.m. Resident #105 was observed in the dayroom on D wing with six other residents. No staff was observed in the dayroom with the residents. Resident #105 was dozing off in a chair. Resident #105 stood up. The front…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-02 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation review of facility policy and procedures review of the clinical records and resident and staff interviews the facility failed to assure and maintain the highest practical, physical, mental and psychosocial well-being for 6 (Resident #156, #113, #6, #162, #26, #105) of 7 residents reviewed. The findings included: The facility policy Staffing Policies and Procedures effective 1/25/23 documented, The Director of Nursing shall have sufficient nursing staff on a 24-hour basis to provide nursing and related services to residents in order to maintain the highest practicable, physical, mental and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care. 1. Review of the clinical record revealed Resident #6 had an admission date of 8/18/21 with diagnoses including cerebral vascular accident resulting in right sided hemiparesis, right hand contracture, right leg is numb, weakness, and dementia, decreased balance, mobility, strength and endurance. 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 · D2023-11-02 · 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

    Based on record review, staff and family interviews, the facility failed to ensure appropriate prompt medical transport to the hospital following a fall with injury for 1 (Resident #67) of 4 residents reviewed for falls. The findings included: On 10/23/2023 at 10:35 a.m. Resident #67 Progress notes stated, was found on the floor on to his right side, complaints for pain, received Tylenol and order for x rays, family was notified, continues monitoring, neuro checks. On 10/23/2023 at 10:56a.m., Advanced Practice Registered Nurse (APRN) Staff L, was notified of recent fall and noted skin tear to his right upper back as documented in the progress notes for Resident #67. On 10/23/2023 at 1:12 p.m., per progress notes for Resident #67, APRN Staff L, was notified of pain to right rib area. A right rib x-ray order was given. On 10/24/2023 at 11:03 a.m., the Progress notes for Resident #67 documented, Per evaluation of x ray results by APRN, order to send to the ER (Emergency Room) for a possible CT scan. Message left for his daughter. Call then placed to his spouse, who is in agreement to…

    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 · D2023-11-02 · 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 record review and interview the facility failed to complete a thorough investigation of the alleged violation of abuse and failed to maintain documentation that the alleged violation was thoroughly investigated for one (Resident #77) of three residents reviewed after report of a potential for abuse to the resident. This placed resident #77 and other residents at potential risk of retribution and continued abuse. The findings included: The Policy/Procedure Abuse, Neglect, Exploitation, and Misappropriation of Property Prevention, Protection and Response Policy and Procedures, dated 2/12/18 specified Definition of verbal abuse: the use of oral, written or gestured language that willfully includes disparaging and derogatory terms to patients or their families, or within their hearing distance regardless of their age, ability to comprehend, or disability. Identification Issues: e) Any complaint of the use of oral, written, or gestured language that willfully includes disparaging and derogatory terms to patients or families or within their hearing distance. h) Any behavior…

    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 · D2023-11-02 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review the facility failed to keep a record of controlled substances awaiting disposition to ensure an accurate inventory, and allow periodic reconciliation. The findings included: Review of the facility policy for Controlled Substance Storage Revised January 2018: Medications subject to abuse or diversion are stored in a permanently affixed, (double-locked) compartment. Accountability records for discontinued controlled substances are maintained with the unused supply until it is destroyed or disposed of. On 11/2/23 at 9:30 a.m., during an interview Unit Manager, Registered Nurse (RN) Staff H said the unused narcotics are periodically removed from the medication carts and taken to the Director of Nursing (DON) to be locked in her office. On 11/2/23 at 11:00 a.m., during an interview the DON confirmed the nurses periodically bring unused narcotics to her office. She stores them in a locked file cabinet in her office. She said the maintenance director has a key to her office, but only unlocks the door in an emergency. She said when the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-02-03 · 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 record reviews, observation, staff and resident interviews, the facility failed to allow freedom of choice for 1 (Resident #146) of 2 residents reviewed. The findings included: The facility's policy titled Smoking policy-Residents revised on 1/7/2020 read, . Prior to, or upon admission, residents shall be informed about any limitations on smoking, including designated smoking areas, and the extent to which the facility can accommodate their smoking . preferences .The staff shall consult with the Attending Physician and the Director of Nursing Services to determine any restrictions on a resident's smoking privileges . On 2/2/22 at 9:18 a.m., in an interview Resident #146 said he has not been able to smoke since his admission to the facility on 1/7/22. A pack of cigarette was observed on the resident's bedside table. Resident #146 said he could not think straight when he didn't smoke. When he asks to smoke staff tell him We don't do that here. He said they would not give him a lighter. Resident #146…

    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 · E2020-02-27 · tag F0637 — pattern
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview the facility failed to complete a significant change Minimum Data Set (MDS) assessment within 14 days of election of Hospice Services for 5 (Residents #168, #118, #135, #146, and #20) of 6 residents reviewed for significant changes. This has potential to delay assessment of the decline in function and changing needs for care. The findings included: 1. On 2/27/20 record review revealed the representative for Resident #168 elected Hospice Services on 8/14/19. The significant change MDS was not completed until 10/22/19, 69 days after election of Hospice Services. 2. On 2/27/20 record review revealed the representative for Resident #118 elected Hospice Services on 1/13/20. The significant change MDS was not completed until 1/30/20, 17 days after election of Hospice Services. 3. On 2/27/20 record review revealed the representative for Resident #135 elected Hospice Services on 1/17/20. The significant change MDS was not completed until 2/6/20, 19 days after election of Hospice Services. 4. On 2/27/20 record review revealed the representative for…

    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
Show the remaining 5 citations
  • Potential for harm · E2020-02-27 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    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, staff and resident interviews, and record review the facility failed to ensure 6 (Residents #60, #121, #114, #374, #75 and #117) of 101 residents with bed rails/grab bars were assessed for alternative interventions prior to the use of bed rails/grab bars. The facility failed to ensure informed consent was obtained prior to the use of the bed rails/grab rails and to conduct periodic maintenance of the bed rails to ensure they remained safe for residents' use. The term bed rails includes: side rails, bed side rails, safety rails, grab bars, or assist bars. The findings included: 1. Observations on 2/24/20 at 9:30 a.m., and on 2/25/20 at 10:27 a.m., found Resident #60 in her bed with bilateral upper bed rails in the up position and bilateral body pillows in place. Review of Resident #60's record revealed she was first admitted to the facility on [DATE]. A physician's order dated 9/11/19 for body pillows to each side of the bed was noted. There was no documentation the facility had assessed…

    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 · E2020-02-27 · 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 record review and staff interview the facility failed to ensure medical records were completed and contained the irregularities identified from the monthly consultant pharmacist medication regime review for 5 (Residents #135, #76, #168, #171 and #52) of 9 residents reviewed for medications. The findings included: The facility's policy IA2: Consultant Pharmacist Services Provider Requirements (revised January 2018), indicated in section F, the consultant pharmacist was to document the monthly findings from the medication regimen review in the resident's medical record or in a readily retrievable format if electronic documentation used. 1. Review of Resident #168's clinical record revealed the use of the antianxiety medication Lorazepam twice a day. There was no evidence of the consultant pharmacist conducting a monthly medication review to identify any irregularities for August, October, November, and December 2019, or January 2020. In an interview on 2/25/20 at 10:37 a.m., Licensed Practical Nurse (LPN) Staff L said the residents' records were all electronic and the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-27 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview the facility failed to notify the physician of significant weight loss for 1 (Resident #125) of 3 residents reviewed for nutrition. The findings included: Record review on 2/26/20 at 9:30 a.m., showed Resident #125 had a 10.7% weight loss over 30 days. There was no documentation of the physician being notified of the weight loss. In an interview on 2/26/20 at 10:54 a.m., the Dietician said he was oat the weekly risk meeting and the physician was not notified of the weight loss. In an interview on 2/26/20 11:09 a.m., Licensed Practical Nurse (LPN) Staff K said the physician was not notified of weight loss and usually dietary notified the physician. In an interview on 2/26/20 at 11:10 a.m., LPN Staff R said there was no notification to the physician. He was on the risk team and they meet weekly. The physician did not attend those meetings.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-27 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure 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 and staff interview the facility failed to ensure the attending physician responded to pharmacy recommendations regarding psychoactive medications for 3 (Residents #171, #135, and #52) of 9 residents reviewed for medications. The findings included: The facility's Policy IIIA2: Documentation and Communication of Consultant Pharmacist Recommendations (revised January 2018) indicated recommendations were to be acted upon and documented by the facility staff and/or the prescriber. If the prescriber did not respond to recommendations directed to him/her within 30 days, the Director of Nursing (DON) and/or consultant pharmacist may contact the Medical Director. 1. Review of Resident #52's clinical record revealed the use of antianxiety, antipsychotic, and antidepressant medications. A consultant pharmacist recommendation was made to the resident's attending physician on 8/31/19 to discontinue the PRN (as needed) antianxiety medication Alprazolam which had been in place for greater than 14 days without a stop date. The physician did not indicate if he agreed 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-27 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview the facility failed to have an end dates for as needed (PRN) psychotropic medication orders for 2 (Residents #15 and #75) of 9 residents reviewed for medications. PRN orders for psychotropic drugs are limited to 14 days unless the rationale and duration are noted. The findings included: On 2/27/20, review of facility policy IB3: Stop Orders (revised January 2018) noted, The following classes of medications, whether the order is for routine or as needed (PRN) use, are stopped automatically after the indicated number of days, unless the prescriber specifies a different number of doses or duration of therapy to be given. Included in those classes were PRN psychotropic medication orders [14 days] 1. Record review showed Resident #15 was admitted to the facility 2/7/20. On admission Resident #15 was ordered antianxiety medication Alprazolam 0.25 milligrams (mg) by mouth three times a day as needed. There was no end date for this medication. The January 2020 pharmacy recommendations were reviewed by the pharmacist and did not note any…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SOLARIS HEALTHCARE — 22 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 54.0≈ chain avg
Health inspection 3 of 53.5-0.5 vs chain
Staffing 3 of 53.8-0.8 vs chain
Quality measures 5 of 54.5+0.5 vs chain
The other 21 homes this chain runs (chain average 4.0★, per CMS)

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 / managerTypeRoleShareSince
CHARLOTTE HARBOR HEALTHCARE HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 10/20/2015
SOLARIS FOUNDATION INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/06/2015
SOLARIS HEALTHCARE PROPERTIES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/06/2015
CORLEY, SHAWNIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2022
O'REILLY, BONNIEIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/18/2026
BELL, THOMASIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNFsince 01/01/2016
BERG, CHRISTINEIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 02/24/2020
BERKOWITZ, MICHAELIndividualCORPORATE DIRECTORsince 06/01/2022
BUXBAUM, MIRIAMIndividualCORPORATE DIRECTORsince 06/01/2022
HERZKA, CHAIMIndividualCORPORATE DIRECTORsince 06/01/2022
MARPLE, MARYIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 06/25/2020
OBERLANDER, JOSEPHIndividualCORPORATE DIRECTORsince 06/01/2022
PARKER, LAURIEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 03/31/2025
PARKER, SHELBYIndividualADP OF THE SNFsince 10/01/2016

CMS files one row per role, so the 27 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$22.9M
Net patient revenuemost recent cost report
+7.5%
Operating marginrevenue minus expenses
$2.7M
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 63%Medicare 24%Other / private 13%

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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

$346per resident / day
operating cost
$10,509per month
≈ monthly operating cost
$374per day
avg. revenue, all payers

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

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105859. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-11-02, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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