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Port St Lucie Rehabilitation And Healthcare

7300 Oleander Ave, Port Saint Lucie, FL 34952 · For profit - Corporation · 180 certified beds · (561) 766-4100 Medicare & Medicaid certified

Call the home — (561) 766-4100 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 20 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)
  • 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 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
7043 US-1, Ste 201 · (772) 494-2354 · Call to confirm hours
Pharmacy
Walgreens1.4 mi
7620 S US Highway 1 · (772) 878-1505 · Call to confirm hours
Grocery
6723 S US Highway 1
Park
5006-5050 NW Manville Dr · (772) 878-2277 · Typically dawn to dusk
Place of worship
707 Kitterman Rd · (772) 489-9696

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 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 1 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 3 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 rating3★
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 increased19.8%8.7%15.4%worse
Long-stay residents who lose too much weight4.7%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 infection1.5%0.7%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.9%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 injury3.7%2.5%3.3%typical
Long-stay residents whose ability to walk worsened10.5%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication13.6%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers3.9%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control21.7%10.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table13.3%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 vaccine98.1%94.7%79.4%better
Short-stay residents rehospitalized after admission25.2%26.1%22.6%worse
Short-stay residents with an outpatient ER visit12.8%9.1%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.302.131.67worse
Long-stay outpatient ER visits per 1,000 resident days2.151.151.80worse

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.

40.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 178 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

40.2%U.S. median 51.5%
Got home and stayed home
12.6%U.S. median 10.7%
Went back to hospital
42.7%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 42.7% 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 124 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 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 47% 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 SNF40.2%CMS range 32.9–46.751.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.6%CMS range 9.8–16.410.7%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 discharge42.7%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 discharge35.5%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 discharge46.8%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 identified60.2%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 setting82.9%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 discharge92.1%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 stay1.1%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 worsened4.0%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 hospitalization9.0%CMS range 5.5–13.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 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

0.88
RN hours/ resident / day
0.60
LPN hours/ resident / day
2.55
Aide hours/ resident / day
4.03
Total nurse hours/ resident / day
0.61
RN hoursweekends
41.4%
Total nursing turnover
36.6%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 146.9 residents a day — about 82% occupied, or roughly 33 beds typically open. It usually has some room. 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.88 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.55 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 3.57 hrs/resident/day on weekends vs 4.22 on weekdays — 15% thinner on weekends. RN hours go from 0.99 to 0.61 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% 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

2
deficiencies at the latest standard inspection (2024-09-19)
8
at the previous standard inspection (2023-07-20)

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

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.

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

  • Potential for harm · Ecited before2024-09-19 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record reviews, the facility failed to provide foods prepared, served, and stored under sanitary conditions and in accordance with professional standards for food safety. The findings included: 1. During the initial kitchen tour, on 09/16/24 at 9:08 AM, accompanied by the Registered Dietitian (RD) and the Certified Dietary Manager (CDM), the following was noted: a. The concentration of chlorine used for sanitizing wares in the mechanical ware washing machine was less than 50 parts per million. b. The temperature of the wash, rinse and sanitizing cycles did not reach 120 degrees Fahrenheit (F). c. There was an accumulation of mold in the basin of the ice machine. d. The wall behind the coffee stations was damage. e. There was an accumulation of residue on the knobs of the range and convection oven handles. f. There was a red bucket of sanitizer kept on a shelf directly over the oven and the flat top range. g. Foam containers that were stored in the tray assembly and the hot holding areas were not stored inverted to prevent dust and debris from…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-19 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record and policy review, the facility failed to follow through with request for pain medication for 1 of 3 sampled residents reviewed for pain management, Resident #51. The findings included: Review of the facility's policy, titled, Controlled Drug Management, effective December 2020, documented, in part, Controlled substance drugs may be ordered from the Pharmacy, a script must be sent to the pharmacy. The physician may call in a controlled substance to the pharmacy. After the pharmacy has the script or the order from the physician, they may provide a code to the nurse which will allow him/her to remove the controlled substance from the emergency narcotic kit if the medication is available in the kit. Nurses will enter in the log the number of pills removed and the approval pharmacy code provided. Narcotics will be filled by the pharmacy as soon as all required elements are provided and delivered to the facility on the next scheduled delivery. Record review revealed Resident…

    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 · D2023-07-20 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to follow the care plan related to use of bed and chair alarms, for 1 of 5 sampled residents reviewed for falls. Resident #20 had a history of falls, one of which was an assisted fall to the floor when a Certified Nursing Assistant (CNA) heard the alarm, thus preventing injury. The findings included: Review of the record revealed Resident #20 was admitted to the facility on [DATE]. Review of the current Minimum Data Set (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 6, on a 0 to 15 scale, indicating the resident was cognitively impaired. This MDS lacked any documented behaviors, and documented the resident needed the extensive assistance of one staff for transfers and ambulation. The MDS documented Resident #20 had falls in the past 2 to 6 months. Review of the current fall risk assessment dated [DATE], documented Resident #20 was a high risk for falls, with a score of 19. This 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-20 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure nutritional services to meet the needs for 2 of 5 sampled residents, Residents #65 and #137. The Registered Dietician (RD) failed to do an accurate quarterly assessment for Resident #65, failed to initiate weekly weights with the identification of a significant weight loss, and failed to follow up with the physician on his recommendation for an appetite stimulant. The RD failed to ensure timely interventions for Resident #137, who had a significant weight loss. The findings included: Review of the facility's Policy, titled, for Weight Assessment and Intervention documented, in part, the following: 3) Any weight change of 5% or more since the last weight assessment will be retaken the next day for confirmation. If the weight is verified, the nursing will immediately notify the Dietitian. 4) The Dietitian will respond within 72 hours of receipt of notification. Care Planning 10) Individualized care plans shall address, to the extent…

    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 · D2023-07-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to obtain a physician order for oxygen for 1 of 2 sampled residents reviewed for respiratory care, Resident #61, failed to document oxygen administration, and change of oxygen tubing for 1 of 2 sampled residents observed for respiratory care, Resident #32, and failed to have a respiratory care plan for 2 of 2 sampled residents observed for respiratory care, Residents #32 and #61. The findings included: Review of the facility's policy, titled, Oxygen Administration with a revised date of December 2021, documented, in part: 'The purpose of this procedure is to provide guidelines for safe oxygen administration. Verify that there is a physician's order for this procedure. Review the physician's orders or facility protocol for oxygen administration. After completing the oxygen setup or adjustment, the following information should be recorded in the resident's medical record: 1. The date and time that the procedure was performed. 2. The name and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-20 · 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 record review and interview, facility staff failed to follow-up on a pharmacy request for a physician clarification related to an ordered medication for 1 of 38 sampled residents (Resident #206). The findings included: Review of the record revealed two current orders, both dated 06/07/23, for the medication Budesonide, a 3 mg (milligram) tablet, for Resident #206. One order was for the tablet to be given once daily, while the second order was for the medication to be given three times daily. Budesonide is a class of medication called corticosteroids that works by decreasing inflammation (swelling) in the digestive tract. Review of the Medication Administration Record (MAR) for Resident #206 revealed both orders had been entered into the electronic medical record (EMR), and Resident #206 received the 3 mg tablet daily at 9 AM, for the daily dose, and at 6 AM, 2 PM, and 10 PM for the three times daily dose. Review of a progress note dated 06/19/23 at 7:42 PM documented Resident #206 did not receive the budesonide, as the drug was currently unavailable. This note further…

    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 · D2023-07-20 · tag F0770 — failed to provide lab services — isolated
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, facility staff failed to follow through with an ordered laboratory test for 1 of 1 sampled resident (Resident #128). The findings included: Record review revealed Resident #128 was initially admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including: anemia and malnutrition. The 5 day minimum data set (MDS) assessment, reference date 06/12/23, recorded a BIMS score of 14, indicating Resident #128 was cognitively intact. This MDS recorded mood of Feeling tired or having little energy. No behavior exhibited. This MDS indicated Resident #128 required extensive assistance with activity of daily living (ADLs). Review of Resident #128's record revealed a Physician order for a laboratory (LAB) test, dated 07/07/23, for complete blood count (CBC). Further review of Resident #128's records lacked evidence of the CBC test result. It was revealed that on 06/24/23, an order for CBC was completed which showed low red blood cell (2.54, range is 4.40 5.80), low…

    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 · D2023-07-20 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each 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 observation, interview and record review, the facility failed to provide dental services for 1 of 1 sampled resident reviewed for dental services, Resident #40. The findings included: Resident #40 was admitted to the facility for skilled care from an acute care hospital on [DATE] with diagnoses that included: Metabolic encephalopathy, Hydrocephalus, unspecified and Hypotension. A scheduled 5-day Minimum Data Set (MDS) with an assessment reference date of 06/23/23 revealed his Brief Interview for Mental Status was 14 of 15, which indicated he was cognitively intact. On 07/17/23 at 9:53 AM during the initial tour of the facility, an interview was conducted with Resident #40 who stated he has no teeth and wanted to see a dentist. On 04/11/23 a social service note in the Electronic Health Record stated the resident has no dentition, states he is interested in seeing a dentist to fabricate dentures. On 07/19/23 at 1:53 PM, an interview was conducted with the Social Service Director (SSD). The SSD stated at…

    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 · D2023-07-20 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to accommodate resident food preferences for 3 of 17 cognitively intact sampled residents, Residents #46, #91, #89. The findings included: Review of the facility's policy, titled, Resident Food Preferences with a revised date of December 2022, included, in part: Nutritional assessments will include an evaluation of individual food preferences. The resident's food preferences, likes/dislikes will be documented on the resident tray card. This will include special dietary instructions or limitations such as altered food consistency and caloric restrictions. 1. Record review for Resident #46 revealed the resident was admitted to the facility on [DATE] with most recent readmission on [DATE]. The resident's diagnoses included: Spinal stenosis, thoracic region, Type 2 Diabetes Mellitus, and Morbid (Severe) Obesity, Review of the Minimum Data Set (MDS) for Resident #46 dated 06/12/23 revealed in Section C, a Brief Interview of Mental Status (BIMS)…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-20 · tag F0842 — failed to keep accurate, complete medical records — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure accuracy of records for 2 of 38 sampled residents, Residents #206 and #65. The findings included: Review of the policy, titled, Charting and Documentation, revised [DATE], documented, in part, All services provided to the resident, or any changes in the resident's medical or mental condition, shall be documented in the resident's medical record. 1. Review of the record revealed Resident #206 was admitted to the facility on [DATE] and expired at the facility on [DATE]. The following inconsistencies or lack of documentation was identified: A progress note dated [DATE] at 7:32 PM and [DATE] at 5:55 AM, documented Resident #206 remained on droplet isolation. The record lacked any documentation of the need for droplet isolation. A progress note dated [DATE] at 5:55 AM, documented the oxygen saturation level for Resident #206 was 90% on room air. The vital sign record documented an oxygen saturation level of 90% on [DATE] at 11:14 PM. An…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · Fcited before2022-03-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to prepare, store and serve food in accordance with professional standards and in a manner to prevent the possible growth of pathogens that cause foodborne illness. The findings included: 1. During the initial kitchen tour, on 03/13/22 at 9:21 AM, accompanied by the Kitchen Manager / Certified Dietary Manager (CDM), the following were noted: a. A portion of the wall to the left of the coffee station and underneath water filters for the ice machine was noted to be damaged and missing tiles. b. A staff member's purse was kept on a shelf with food (bread) and single use and disposable napkins. c. Cutting boards were scored and stained and appeared to be uncleanable. d. The handle of a knife that was stored was noted to be melted in one area, creating an uncleanable surface. e. The exterior of the door and wall of the w/i cooler was stained. f. The gasket on the interior of the door to the walk in cooler was noted to be torn in a manner that creates an uncleanable surfaces. g. In the walk-in freezer, the facility 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-03-16 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide housekeeping and maintenance services necessary to ensure a comfortable and home-like environment. The census at the time of the survey was 132 residents. The findings included: 1. At the nurses' stations for the 100 and 200 unit, the covering on the front edges of the counter were noted to be damaged in a manner that residents that use the counter as a means to propel themselves could be subject to splinters and skin tears. 2. Throughout the corridor of the 100 unit, there were stained ceiling tiles at the fire sprinklers and the air conditioning vents. 3. In room [ROOM NUMBER], there was a hole in the wall by the under and to the left of the window bed, where, according to the Director of Environmental Services, a night light would have been. 4. Throughout the corridor of the 200 unit, there were stained ceiling tiles at the fire sprinkles and the air conditioning vents. 5. In room [ROOM NUMBER], the covering on the outside edge…

    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 · D2022-03-16 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure comprehensive assessments were accurate for 4 of 29 sampled residents (Resident #32, #37, #100 and #246), as evidenced by failure to capture all accurate diagnoses for Resident #32, failure to accurately document skin conditions for Resident #37, failure to accurately document specialized services for Resident #100 and failure to accurately document the use of physical restraints for Resident #246. The findings included: 1. Clinical record review conducted on 03/14/22 revealed Resident #32 has a Minimum Data Set (MDS), quarterly assessment with reference date of 01/01/22. The diagnosis section did not indicate the resident had an infection during the seven days look back period. Physician's order, dated 12/29/21, documented, Azithromycin tablet; 250 mg daily. Review of the Medication Administration Record (MAR) validated the resident received the prescribed antibiotic from 12/29/21 thru 01/01/22. Review of the Progress Notes dated 12/29/21…

    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 · D2022-03-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    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

    Based on observation, record review and interview, the nursing staff failed to provide necessary care and services to restore skin integrity, by failing to assess and treat skin conditions in a timely manner, for 2 of 5 sampled residents, Resident #32 and #95. The findings included: 1. Observation of Resident #95's care conducted on 03/14/22 at approximately 10:40 AM revealed Staff B, a Certified Nursing Assistant (CNA), performing catheter care. When finishing the task, Staff B-CNA repositioned the resident's left leg on a cushion. It was noted the posterior aspect of the leg had redness and an open area mid-calf. Staff B-CNA was made aware of the open skin and proceeded to place the cushion under the resident's leg. Observation of care conducted on 03/15/22 at approximately 10:20 AM revealed the hospice aide was assisting the resident with morning care. It was noted the wound to the left leg was open to air. At this time, the surveyor called in the Restorative Nurse, who was sitting at the nurses station and went in the resident's room to evaluate the wound. The Restorative Nurse…

    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 · D2022-03-16 · 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 observation, record review and interview, the facility failed to ensure restorative services were implemented for 1 of 1 sampled resident, Resident #74. The findings included: During observations on 03/13/22 at 10:36 AM and 03/15/22 at 9:17 AM, Resident #74 was noted in bed with both legs bent up at the knees. Review of the record revealed Resident #74 was admitted to the facility on [DATE]. Further review of the record revealed two orders related to restorative services as follows: 02/11/22, Active Range of Motion (AROM) exercises with two-pound weights to upper and lower extremities three times weekly, as tolerated, on Tuesday, Thursday, and Saturday. 02/11/22, Sit-to-stand transfers (times 10) with rolling walker and/or handrails in hallway with maximum assistance on Tuesday, Thursday, and Saturday. Review of the current care plan, dated 02/11/22, documented Resident #74 had the potential for alteration in range of movement, related to decreased mobility and weakness. The care plan Approaches…

    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 · D2022-03-16 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility staff failed to provide necessary care and services, including interventions to restore continence status for 1 of 1 sampled resident, who had a documented decline in bowel functioning, Resident #88. The findings included: Observations of Resident #88 conducted on 03/13/22 at 11:38 AM and on 03/14/22 at 9:40 AM revealed the resident moving herself around while sitting in the wheelchair. The resident had disposable briefs on the back of the chair in a plastic bag. Clinical record review conducted on 03/14/22 revealed Resident #88 was admitted to the facility on [DATE]. Review of the Minimum Data Set (MDS), quarterly assessment with reference date of 02/16/22, documented the resident was assessed as moderately impaired for skills of daily decision making, is frequently incontinent of bowel and no toileting program has been implemented. Review of a previous assessment with reference date of 11/29/21 documentsed the resident was always continent of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-03-16 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to follow through with ordered speech therapy evaluations for 1 of 5 sampled residents who sustained weight loss, Resident #63; and failed to consistently document the meal intake for Resident #63, in order to accurately assess the resident's meal consumption on 24 of 28 days reviewed. The findings included: During an observation on 03/13/22 at 1:36 PM, Resident #63 was sitting up in bed with her eyes closed, appeared to be sleeping, and her untouched lunch tray was in front of her. On 03/13/22 at 2:13 PM, Resident #63 began eating with the help of Staff Q, a Certified Nursing Assistant (CNA). The record lacked documented of the amount of food eaten by Resident #63 for that meal. On 03/14/22 at 9:26 AM, Staff R-CNA, stated Resident #63 did not eat any breakfast. Staff R-CNA stated the resident's daughter usually brings in food for Resident #63 for lunch. The record lacked any documented intake for the breakfast meal. During an interview on 03/14/22 at 11:53 AM, the daughter of Resident #63 explained she visits on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-16 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that the administration of enteral nutrition, via PEG tube, for 1 of 1 sampled resident was consistent with and followed doctor's orders (Resident #236). The findings included: On 03/13/22 at 11:08 AM, Resident #236 was observed lying in bed. Resident #236 had a PEG tube (Percutaneous Endoscopic Gastrostomy). He was not receiving an enteral feeding at this time. Resident #236 is an alert and oriented resident with a BIMS of 15, indicating intact cognition. Resident #236 stated that he is to receive his feedings 5 times a day: 6:00 AM, 11:00 AM, 3:00 PM, 6:00 PM and 10:00 PM. Resident #236 said that on 03/12/22 his 11:00 AM tube feeding was done at 11:30 AM, and he did not receive another feeding until approximately 7:15 PM. He stated that staff had also missed another feeding on a previous day but couldn't recall the exact date. He said there were times when the feedings came later than scheduled. A review of resident weight record…

    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 before2022-03-16 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and policy review, the facility failed to ensure pain medication was administered in a timely manner for 1 of 1 sampled resident, reviewed for pain, Resident #381. The findings included: The facility policy, titled, Pain Assessment and Management (revised March 2015), documented in part: 1. The pain management program is based on a facility-wide commitment to resident comfort. 2. Pain management is defined as the process of alleviating the residents' pain to the level that is acceptable to the resident and is based on his or her clinical condition and established treatment goals. Review of the Resident #381's clinical record revealed Resident #381 was admitted on [DATE], with a BIMS score ( brief interview for mental status) of 15, indicating the resident is cognitively intact. The resident has diagnoses to include Fibromyalgia, age related Osteoporosis, Tinnitus, and Urinary Tract Infection. Review of the physician's orders for pain included: Start date of 03/03/22 and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-03-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to send order of physician-prescribed medication for 1 of 5 sampled resident and follow through with the appropriate action when the resident's medication was not available for administration, Resident #101. The findings included: Review of Policy and Procedures for ORDERING AND RECEIVING NON-CONTROLLED MEDICATIONS FROM THE DISPENSING PHARMACY (April 2017) documented: Policy Medications and related products are received from the dispensing pharmacy on a timely basis. The facility maintains accurate records of medication order and receipt. Procedures A. Ordering medications from the Dispensing Pharmacy, and B. Receiving Medications from the Pharmacy. (Full Policy and Procedure details obtained). Record review revealed Resident #101 was admitted to the facility on [DATE], with a BIMS of 13, indicating the resident is cognitively intact. Review of the resident's electronic March 2022 Medication Observation Record (eMAR) documented a physician order,…

    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.

Who owns this facility

Owner / managerTypeRoleShareSince
PSL REHABILITATION AND HEALTHCARE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 01/16/2025
STROHLI, ELIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST100%since 12/27/2018
SHEMESH, ZEVIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 08/01/2018
IZQUIERDO, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/11/2025
BOYKIN, IANIndividualADP OF THE SNFsince 01/03/2024

CMS files one row per role, so the 9 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

$19.1M
Net patient revenuemost recent cost report
+3.5%
Operating marginrevenue minus expenses
$2.5M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 57%Medicare 15%Other / private 27%

This home reported $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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

$312per resident / day
operating cost
$9,497per month
≈ monthly operating cost
$324per 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 105410. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-19, 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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