Tiffany Hall Nursing And Rehab 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.

47.9% 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 315 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 64.9% 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 94 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 0.76 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 46% 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 120 beds and averages 106.2 residents a day — about 88% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.29 hrs/resident/day on weekends vs 3.83 on weekdays — 14% thinner on weekends. RN hours go from 0.86 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · J2025-06-26 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observation, record and policy review, the facility failed to protect the resident's right to be free from neglect when it failed to provide supervision to protect resident safety as evidenced by disregarding the procedure to prevent the resident from eloping, failed to search for the missing resident timely, and failed to provide essential medications, for 1 of 3 sampled residents (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 06/18/25 at 8:26 PM. There were 111 residents in the facility at the time of the survey. The facility's Administrator was notified of Immediate Jeopardy on 06/25/25 at 4:09 PM. The immediate jeopardy was removed at the time of the facility exit on 06/26/25. Cross reference to F689. The findings included: Review of the facility's policy titled, Abuse and Neglect Prohibition revised 8/2023, documented, Each resident has the right to be free from mistreatment, neglect, abuse, involuntary seclusion, exploitation, 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-06-26 · 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 interview, observation, record and policy review, the facility failed to provide appropriate supervision to prevent an elopement which resulted in the resident exiting the facility undetected and whereabouts unknown for 12 hours as he walked along a highway that put him at risk of being hit by an automobile for 1 of 3 sampled residents (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 06/18/25 at 8:26 PM. There were 111 residents in the facility at the time of the survey. The facility's Administrator was notified of Immediate Jeopardy on 06/25/25 at 4:09 PM. The Immediate Jeopardy was removed by the time of the facility exit on 06/26/25. Cross reference to F600. The findings included: Review of the facility's policy titled Resident Elopement revised 8/2023, documented when a resident is unable to be located on the premises, staff will: Determine if the resident is out on an authorized leave or pass. If not: Notify the Administrator and the Director of Nursing…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-20 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, record review and interview, the facility failed to identify a situation as a credible allegation of verbal abuse and to report the allegation to local Law Enforcement (LE), the State Agency (SA), and the Administrator of the facility, for 1 of 2 sampled residents, Resident #87. The findings included: Review of the policy, titled, Abuse and Neglect Prohibition, revised 08/2023, documented, in part, The definition of Verbal Abuse is defined as the use of oral, written, or gestured language that willfully includes disparaging and derogatory terms to residents or their families or within their hearing distance regardless of their age, ability to comprehend, or disability. The center will investigate any alleged abuse and report such allegations to the state as per state/federal regulation. Review of the record revealed Resident #87 was admitted to the facility on [DATE]. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-20 · 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 failed to change the indwelling urinary catheter for per the physician order for 1 of 1 sampled resident, Resident #79, reviewed for urinary catheter. The findings included: 1. Record review revealed Resident #79 was admitted to the facility on [DATE] with a medical diagnosis for the indwelling catheter as Urinary Retention. Resident #79 had a history of recurrent Urinary Tract Infections (UTIs). The resident had a recent urine culture done on 11/23/24 because the color of the urine was cloudy / milky with sediments and was positive for an UTI. The Foley catheter was last changed on 11/27/24. Review of the current physician order dated 10/21/24 documented that staff were to change the resident's urinary catheter monthly on the 20th, and as needed. An observation was conducted on 02/17/25 at 9:30 AM of Resident #79 who was asleep in bed, and a urinary collection bag was noted hanging below the level of the bed linen, anchored to the bedside. Review…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-20 · tag F0691 — failed to provide colostomy / ostomy care — isolated
  Provide appropriate colostomy, urostomy, or ileostomy care/services 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, record review and interview, the facility failed to ensure urostomy (a surgical opening for urine output) care and services for 1 of 1 sampled resident, Resident #73, as evidenced by the failure to use appropriate supplies to prevent leakage. The findings included: Record review revealed Resident #73 was admitted to the facility on [DATE]. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 9, on a 0 to 15 scale, indicating moderate cognitive impairment. This MDS documented the resident had an ostomy and needed substantial to maximum assistance from staff for the care of the device. Further review of the record revealed a physician's order dated 01/13/25 that instructed staff to monitor the urostomy for blockage and or leakage, and if present, to document and notify the physician. A second physician's order dated 01/13/25 instructed staff to change the urostomy bag as needed for hygiene.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-20 · 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 policy review, observation, record review and interview, the facility failed to ensure adequate nutritional status for 2 of 5 sampled residents, as evidenced by failure to weigh Resident #99 and implement fortified foods, and failure to monitor meal intake for Resident #69, both who had significant weight loss. The findings included: 1. Review of the policy, titled, Weight Measurements, revised: 08/2023, documented, in part, Residents are weighed weekly, monthly, or according to physician orders. Residents should be weighed at the same time of the day, in similar clothing, and using the same scale. Any significant or progressive weight loss or gain is noted and reported to the residents' attending physician, family, or responsible party, and documented in the medical record. Note all new admits should be weighed weekly for 30 days. Record review revealed Resident #99 was admitted to the facility on [DATE]. Review of the Current Minimum Data Set (MDS) assessment, dated 02/19/25, documented the 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 · D2025-02-20 · 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 policy review, observation, record review and interview, the facility failed to ensure that the respiratory equipment was changed and maintained as ordered by the physician for 3 of 4 sampled residents, as evidenced by the nebulizer tubing and mask for Resident #99 were not changed for 2 weeks, and the oxygen concentrator filters were not maintained clean for Residents #70 and #86. The findings included: Review of the policy titled Care and Handling of Respiratory Equipment revised 08/2023, documented in part, Handheld nebulizers (equipment used to administer respiratory treatment) should be changed within every seven days or when obviously contaminated. Empty intermittently used nebulizers after each use and rinse with warm water and allow to air dry. 1. Record review revealed Resident #99 was admitted to the facility on [DATE]. Review of the current Minimum Data Sheet (MDS) dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 03, on a 0 to 15 scale, indicating…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-20 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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 policy review, observation, record review and interview, the facility failed to ensure infection control practices for 2 of 12 sampled residents, Resident #79 and #359, as evidenced by the failure to post Enhanced Barrier Precaution (EBP) signage and failure to use Personal Protective Equipment (PPE) during direct care. The findings included: 1. Review of the policy, titled, Isolation- Categories of Transmission Based Precautions. Chapter: Infection and Prevention Control, revised on 06/28/24, documented, in part: Fundamental Information 1.the Infection Preventionist (or designee) determines the appropriate notification to be placed on the room entrance door Enhanced Barrier Precautions 3. Equipment includes the use of gown and gloves during the direct care of resident that consists of close contact such as transferring, indwelling device care and other activities that may have the resident in close contact with the staff member. Record review revealed Resident #79 was admitted to the facility 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-11-09 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure shower preferences and schedules for 2 of 3 sampled residents reviewed for showers, Residents #25 and #40. The findings included: Resident #25 was admitted to the facility on [DATE] with diagnoses to include in part, Generalized Anxiety Disorder, Restless Leg Syndrome, Diabetes Mellitus, Hypertension, Glaucoma, Pain, and Fibromyalgia. Resident #25 had a BIMS (Brief Interview for Mental Status) of 15. The score of 15 indicates the resident is cognitively intact. On 11/06/23 at 9:18 AM, Resident #25 was interviewed, who stated she had not received a shower since her admission, and she would like to have one. The resident's shower and bathing schedules were reviewed. The documentation revealed the resident was scheduled to have a shower every Wednesday and Saturday. The documentation also revealed the resident had not received a shower in the past 30 days. No documentation was found which indicated the resident refused any showers. Resident #40 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 · D2023-11-09 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 provide a Notice of Medicare Non-Coverage (NOMNC) letter appropriately and in a manner to afford the resident and the resident's representative the opportunity to submit an appeal to the discharge, prior to a resident being discharged from Medicare Part A Skilled services, for 1 of 3 sampled residents reviewed, Resident #261. The findings included: Record review revealed Resident #261 was admitted on [DATE]. Review of the admission / Medicare 5-day Minimum Data Set, dated [DATE], revealed Resident #261 had a Brief Interview for Mental Status (BIMS) score of 03, indicating the resident had severe cognitive impairment. Resident #261's diagnoses at the time of the assessment included: Myocardial Infarction, Dementia, Major Depressive Disorder, Cognitive Communication Deficit, Psychosis and Alzheimer's Disease. It was determined that Resident was non interviewable based on resident not being able to give reasonable answers to basic questions. On [DATE] 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-09 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, policy review and documentation, the facility failed to follow the grievance process related to missing clothing for 4 of 6 sampled residents reviewed for missing clothing, Residents #25, #72, #77 and #263. The finding included: The policy, titled, Misappropriation of Residents Property and revised 03/28/17 documented in part: Reports of misappropriation or mistreatment of resident's property are to be investigated through the resident's grievance process and documented in the progress notes through the grievance process. The policy, titled, Grievances and revised 10/30/19, documented in part: 1. When a resident or anyone acting on their behalf has a grievance a staff member shall encourage and assist the resident, or person acting on the resident's behalf, to file a grievance with the facility using the Grievance Report. 1. Resident #25 was admitted to the facility on [DATE] with diagnoses to include: Generalized Anxiety Disorder, Restless Leg Syndrome, Diabetes Mellitus, Hypertension,…

  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 · D2023-11-09 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure Level II PASARRs (Preadmission Screening and Resident Reviews) for 2 of 2 sampled residents requiring a Level II assessment (Resident #99 and #103). The findings included: 1. Review of the record revealed Resident #99 was admitted to the facility on [DATE]. Review of the Level I PASRR Screen, completed on 08/24/23 by the transferring hospital, documented diagnosis of mental illness in Section I, along with an episode of significant disruption to the normal living situation, for which supportive services were required to maintain functioning at home, or in a residential treatment environment, or which resulted in intervention by housing or law enforcement officials. This screening also documented Resident #99 may not be admitted to an Nursing Facility, and to use the form to request a Level II PASRR due to a diagnosis of or suspicion of a Serious Mental Illness. The record lacked any documented Level II PASRR evaluation. During a side-by-side…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$46,976 in federal fines across 1 penalty.

• $46,976 — penalty dated 2025-06-26

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 SOVEREIGN HEALTHCARE HOLDINGS — 43 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

CMS files one row per role, so the 33 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $682K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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

What families pay in FL