Village Place Healthcare And Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

57.2% 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 76 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.6% 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 215 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 0.50 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% 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 104 beds and averages 98.4 residents a day — about 95% occupied, or roughly 6 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 4.19 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.51 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.68 hrs/resident/day on weekends vs 4.39 on weekdays — 16% thinner on weekends. RN hours go from 0.69 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

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

27 citations, most serious first. The 14 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · J2025-06-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility's policies and procedures, and staff interviews, the facility failed to protect residents' rights to be free from neglect by failing to follow established processes to document and report a resident's fall to ensure timely and appropriate post-fall evaluation for 1 (Resident #900) of 3 residents reviewed. Resident #900 had severe cognitive impairment and required substantial to maximal assistance with activities of daily living, including transfers. On 4/17/25 at 7:30 p.m., Resident #900 was found on the floor in his room. The licensed nurse on duty failed to document the fall, failed to evaluate the resident for injuries such as fractures, and failed to notify the Director of Nursing or physician of the fall. On 4/18/25 the Physical Therapist documented Resident #900 verbalized right knee pain with all mobility and pain to the right groin/hip area but neglected to communicate the change in condition to the nursing department for appropriate follow-up. On 4/18/25 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-06-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility's policy and procedure, and staff interviews the facility failed to protect 1 (Resident #900) of 3 residents reviewed from avoidable falls and fall related serious injuries by failing to ensure an effective system was in place to consistently document, report and follow up on residents' falls. Resident #900 was admitted to the facility on [DATE] with a history of falls resulting in hospitalization. Resident #900's cognition was severely impaired. On 4/17/25 at 7:30 p.m., Resident #900 was found on the floor in his room. The facility failed to evaluate Resident #900 after the fall, failed to document the fall in the clinical record, and failed to notify the physician and Director of Nursing for post-fall assessment. There was no evidence of a fall investigation. No root cause analysis was done and no corrective actions were implemented to prevent further incidents of falls. The facility failure to document incidents and ensure appropriate post-fall assessment and care…

  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
• Immediate jeopardy · J2025-06-11 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility's policy and procedures and staff interviews the facility failed ensure nursing staff had the appropriate skills set, competencies and oversight to provide safe nursing care and meet the needs of 1(Resident #900) of 3 residents reviewed for falls. Resident #900 was admitted to the facility on [DATE] after a fall resulting in hospitalization. Resident #900's cognitive skills for daily decision making were severely impaired. The resident was rarely understood. On 4/17/25 Resident #900 was found on the floor in his room. The nursing staff failed to document the fall, failed to notify the physician and failed to report the fall to the next shift and therapy department to ensure appropriate follow up assessment and interventions to prevent further falls. The nursing staff failed to document accurately in the clinical record and failed to ensure that physician ordered diagnostic X-rays were obtained. The failure to ensure nursing staff were competent and had the necessary…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-06-11 · tag F0835 — failed to run the facility competently — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews and review of facility policy and procedure the facility administration failed to utilize its resources effectively to prevent the neglect of 1 (Resident #900) of 3 sampled residents and maintain oversight to ensure nursing staff competency to deliver safe nursing care and related services. Resident #900 was admitted to the facility on [DATE]. Resident #900's cognition was severely impaired. Resident #900 was dependent on staff for activities of daily living. On 4/17/25 Resident #900 was found on the floor in his room. The fall was not documented in the clinical record. There was no post fall assessment or physician notification. The facility administration was not aware of the resident's fall and did not identify the nursing staff's failure to document the fall, the failure to notify the physician and the failure to assess the resident after the fall. The facility administration processes did not include monitoring systems to ensure all residents incidents are…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-11 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility's policy and procedure, resident and staff interviews, the facility failed to implement processes to prevent the misappropriation of residents' medications for 4 (Residents #8, #1, #10, and #22) of 4 residents reviewed. The findings included: Review of the facility's policy titled, Abuse Prevention Program revised December 2016 revealed, Our residents have the right to be free from . misappropriation of resident property . Review of the facility's policy titled, Controlled Substances revised December 2012 revealed, Nursing staff must count controlled medications at the end of each shift. The nurse coming on duty and the nurse going off duty must make the count together. They must document and report any discrepancies to the Director of Nursing Services. On 6/5/25 at 3:23 p.m., an interview was held with the Director of Nursing (DON) to discuss processes in place to prevent neglect and misappropriation of residents' properties. The DON said on 5/10/25 controlled medications pertaining to Resident #8 went missing from the medication cart. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-06-20 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of facility's policy and procedure, staff and residents interviews, the facility failed to ensure grievances filed by residents were promptly reviewed and investigated to keep the residents apprised of progress toward a resolution for 5 Residents (#36, #37, #41, #422, and #272) of 5 residents reviewed for grievances. The findings included: Review of the undated facility's Grievance Policy and Procedure revealed the Social Worker has been given the authority of the Grievance Officer. The Grievance Officer is responsible for overseeing the grievance process, receiving and tracking grievances through to their conclusion; leading necessary investigation by the facility; maintaining confidentiality of all information associated with grievances, issuing written grievance decisions to the Resident and coordinating with state and federal agencies as necessary considering specific allegations. Ensuring that all written grievance decisions include the date the grievance 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-20 · 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. On 6/17/24 at 11:41 a.m., in an interview with Resident #21 and Resident #21's granddaughter, they said since Resident #21's admission to the facility on 5/05/24 the facility staff did not give Resident #21 her scheduled showers as asked. Resident #21's granddaughter said due to her grandmother being incontinent of urine, the family had requested for Resident #21 receive a shower at least 2 times a week but the requested showers were not being completed as requested by Resident #21 and/or the family. On 6/19/24 at 1:37 p.m., in an interview with Staff H, a Certified Nursing Assistant (CNA), she said she had taken care of Resident #21 multiple times since Resident #21's admission to the facility. She said Resident #21's shower days were on Wednesday and Saturday. She said if a resident refused their shower or bed bath, they were required to ask them again if they could give them their shower/bed bath, if the resident still refused their shower, they were required to tell the resident's nurse and document 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-20 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy and procedure, record review and staff and resident interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 3 (Resident #6, #47, and #423) of 6 residents reviewed with physician ordered treatments and positioning devices. The findings included: The facility policy Medication and Treatment Orders (revised 7/16) documented Orders for medications and treatments will be consistent with principles of safe and effective order writing. 1. Review of the clinical record revealed Resident #6 had an admission date of 4/16/24 with diagnoses including hemiplegia and hemiparesis affecting the left side, iron deficiency anemia and muscle weakness. The admission Minimum Data Set (MDS) (standardized assessment tool that measures health status in nursing home residents) with an assessment reference date of 4/16/24 documented Resident #6 required moderate assistance with dressing and bathing. The MDS…

  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 · E2024-06-20 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and facility policy review, the facility failed to ensure a multi-resident use glucometer (device to check blood sugar levels), was properly disinfected, and/or standard precautions were followed during medication pass for 2 (Resident #9, and #56) of 5 residents reviewed for infection control. The findings included: Review of the facility policy titled Hand washing/Hand Hygiene revised August 2015, showed This facility considers hand hygiene the primary means to prevent the spread of infections. 2. All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors. 7. Use an alcohol-based hand rub (ABHR) . or alternatively, soap and water for the following situations: g. Before handling clean or soiled dressings, gauze pads, etc.; k. After handling used dressings, contaminated equipment, etc.; m. After removing gloves; . 1. Perform hand hygiene before applying non-sterile gloves. Review of the facility policy titled Cleaning and Disinfection of Glucometer Machine…

  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 · D2024-06-20 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident and staff interview, the facility failed to provide evidence a care plan conference was conducted with the resident and/or resident representative after completion of the comprehensive admission Minimum Data Set (MDS) assessment for 2 (Resident #13 and #54) of 4 residents reviewed. This did not allow the resident and/ or representative to participate in decision making related to the plan of care. The findings included: Review of the Care Planning - Interdisciplinary Team (IDT) policy with a revised date of September 2013 stated the facility is responsible for the development of an individualized comprehensive plan for each resident. The policy interpretation and implementation stated, 1. A comprehensive care plan for each resident is developed within seven (7) days of completion of the resident assessment (MDS) [Minimum Data Set] [sic] .3. The resident, the resident's family and/or the resident's legal representative/guardian or surrogate are encouraged to participate in 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 · D2024-06-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, review of facility's policies and procedures, and resident and staff interviews, the facility failed to prevent the development or worsening of pressure ulcers for 2 (Residents #40 and #47) of 3 residents reviewed for pressure injuries. The findings included: The facility policy titled Repositioning revised May 2013, showed the purpose of this procedure is to provide guidelines for the evaluation of resident repositioning needs, to aid in the development of an individualized care plan for repositioning, to promote comfort for all bed or chair-bound residents and to prevent skin breakdown, promote circulation and provide pressure relief for residents. General Guidelines 1. Repositioning is a common, effective intervention for preventing skin breakdown, promoting circulation, and providing pressure relief . 3. Repositioning is critical for a resident who is immobile or dependent upon staff for repositioning . 5. Positioning the resident on an existing pressure ulcer should be avoided since it puts additional pressure on tissue that is already…

  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 · Dcited before2024-06-20 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to provide care and services to prevent a decline in range of motion for 3 (Residents #14, #15, and #40) of 3 sampled residents reviewed with limited range of motion. The findings included: Review of the facility's policy titled Resident Mobility and Range of Motion with a revision date of July 2017 showed, . 2. Residents with limited range of motion will receive treatment and services to increase and / or prevent a further decrease in range of motion (ROM). 3. Residents with limited mobility will receive appropriate services, equipment and assistance to maintain or improve mobility. 1. Review of the clinical record for Resident #14 revealed an admission date of 2/24/2024 with diagnoses of hemiplegia (one sided paralysis) and hemiparesis (one sided weakness) following a cerebral infarction (stroke) that affected the right side. The Quarterly Minimum Data Set (MDS) assessment with a target date of 4/23/2024 noted Resident #14's cognition…

  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 · D2024-06-20 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  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, facility policy review, staff and family interview the facility failed to promote the rights to retain and use their personal possessions for 1 (Resident #422) of 2 residents reviewed. The findings included: 1. Review of the facility policy titled, Investigating Incidents of Theft and/or Misappropriation of Resident Property revised April 2017 specified: 3. Our facility will exercise reasonable care to protect the resident from property loss or theft, including: a. Implementing policies that strictly prohibit, and pursue to the full extent of the law, staff or employee theft or misappropriation of resident property. b. Providing measures to safeguard resident valuables from easy public access. c. Inventorying resident belongings upon admission. Review of the admission Record revealed Resident #422 was admitted on [DATE]. Diagnoses included: Dementia, cystitis, hypertension, hyperlipidemia, diabetes, obstructive sleep apnea and depression. The admission Minimum Data Set (MDS) assessment…

  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 · D2024-06-20 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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, facility policy review, staff and family interviews, the facility failed to notify the resident's representative of changes in condition for 1 (Resident #422) of 2 resident reviewed for change in condition. The findings included: Review of the facility policy titled, Change in a Resident's Condition or Status Revised May 2017 specified: Our facility shall promptly notify the resident, his/her Attending Physician, and representative (sponsor) of changes in the resident's medical/mental condition and/or status (e.g., changes in level of care, billing/payments, resident rights, etc.). 1. The nurse will notify the resident's Attending Physician or physician on call when there has been a(an): . c. adverse reaction to a medication . e. need to alter the resident's medication . i. specific instruction to notify the Physician of changes in resident conditions. 4. a nurse will notify the resident's representative when: . b. There is a significant change in the resident physical, mental, 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$291,005 in federal fines across 1 penalty.

• $291,005 — penalty dated 2025-06-11

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.

Part of a chain

This home belongs to GOLD FL TRUST II — 36 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 →

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

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

What families pay in FL