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Marion And Bernard L Samson Nursing Center

255 59th St N, Saint Petersburg, FL 33710 · Non profit - Other · 180 certified beds · (727) 345-2775 Medicare & Medicaid certified

Call the home — (727) 345-2775 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 16 lower-level deficiencies on record (see below)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
31 57th St N · (727) 341-1200 · Call to confirm hours
Pharmacy
Walgreens1.0 mi
900 49th St N · (727) 327-8801 · Call to confirm hours
Grocery
809 49th St N · (727) 321-5492 · Call to confirm hours
Park
60th St N &, 1st Ave N · Typically dawn to dusk
Place of worship
300 58th St N · (727) 381-4900

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 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 improved from 2 to 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 increased11.0%8.7%15.4%better
Long-stay residents who lose too much weight3.8%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.0%4.6%6.5%check this — see note marked star below the table
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 injury2.4%2.5%3.3%better
Long-stay residents whose ability to walk worsened14.8%9.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication20.6%14.4%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers4.8%4.5%4.7%typical
Long-stay residents with worsening bladder/bowel control14.4%10.5%21.2%worse than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table7.0%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine98.7%94.7%79.4%better
Short-stay residents rehospitalized after admission29.5%26.1%22.6%worse
Short-stay residents with an outpatient ER visit9.4%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.322.131.67better
Long-stay outpatient ER visits per 1,000 resident days1.021.151.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

60.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 451 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.8%U.S. median 51.5%
Got home and stayed home
12.3%U.S. median 10.7%
Went back to hospital
54.5%U.S. median 56.6%
Met the expected recovery
0.38U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.09hours / resident / day
Speech therapy

Met the expected recovery: 54.5% 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 200 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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 SNF60.8%CMS range 56.4–64.551.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.3%CMS range 9.9–14.510.7%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 discharge54.5%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 discharge62.5%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 discharge29.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge95.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.4%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.6%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 hospitalization6.5%CMS range 4.7–9.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.041.02Oct 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

0.75
RN hours/ resident / day
1.06
LPN hours/ resident / day
2.10
Aide hours/ resident / day
3.91
Total nurse hours/ resident / day
0.44
RN hoursweekends
47.4%
Total nursing turnover
34.4%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 167.7 residents a day — about 93% occupied, or roughly 12 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 3.91 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 2.10 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 3.27 hrs/resident/day on weekends vs 4.17 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.87 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%.

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

Inspection trend

13
deficiencies at the latest standard inspection (2024-03-21)
1
at the previous standard inspection (2021-12-16)

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

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

  • Potential for harm · F2024-03-21 · tag F0645 — widespread
    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, staff interview, and review of the facility's policy, the facility failed to complete the Preadmission Screening and Resident Reviews (PASARR) for residents with a mental disorder and individuals with intellectual disability following qualifying mental health diagnosis for five (Residents #64, #16, #61, #103 and #98) out of seven residents sampled for PASARRs. Findings included: Review of the electronic medical record (EMR) revealed Resident #64 was admitted to the facility on [DATE]. An admission record for the resident revealed a primary diagnosis of Alzheimer's and a secondary diagnosis of Dementia. Review of a level I PASARR for Resident #64 dated 7/27/22 showed qualifying diagnoses were not checked and a level II PASARR evaluation was not submitted. Review of the EMR revealed Resident #16 was admitted to the facility on [DATE]. An admission record for the resident revealed the resident had a diagnoses to include vascular dementia, unspecified severity, without behavioral disturbance,…

    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 · F2024-03-21 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure Nurse Staffing Information was posted accurately for four of four days. Findings included: An observation was conducted on 3/18/2024, 3/19/2024, 3/20/2024, and 3/21/2024 at various times throughout the days, at the front entrance of the facility, and each facility nurse station (total of 4 floors). A Staff Posting Report, which reports the number of nursing staff assigned in the facility for the day, was not observed. An interview was conducted with the Staffing Coordinator on 3/21/2024 at 12:20 PM. The Staffing Coordinator stated the total numbers were posted by the receptionist at the front desk. The Night Nursing Supervisor placed the posting at the reception desk, in a plastic frame. An interview was conducted with the Receptionist on 3/21/2024 at 12:45 PM. The Receptionist stated that she was not sure what report the surveyor was referring to and stated there was no posting of staff here [in the Reception area]. An interview was conducted with the Nursing Home Administrator (NHA) on 3/21/2024 at 1:39 PM. The…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-21 · tag F0881 — failed to use antibiotics responsibly — widespread
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to maintain an ongoing antibiotic stewardship program for two out of three months reviewed. Findings included: Review of the facility's infection prevention documentation showed no documentation related to an ongoing surveillance of resident infections and antibiotic orders for the months of February and March of 2024. On 3/20/24 at 1:50 p.m., an interview was conducted with the current Infection Control Preventionist (IPC), who was also the Assistant Director of Nursing as well as assistant manager to the unit managers on the second and third floor. The IPC transitioned to this role in January 2024. During the interview, the ICP was unable to produce their monthly antibiotic stewardship program reports for the month of February and March to date for this year. The ICP stated the goal was to run weekly reports with the attempt to concurrently review the use of current residents' antibiotic orders and based on the McGreer's criteria to meet the criteria for an infection and the appropriate antibiotic was ordered with an end…

    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 · Ecited before2024-03-21 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    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, staff interviews, and medical record reviews, the facility failed to ensure that seven (#555, #28, #43, #87,#37, #58, and #96) seven randomly observed residents who received respiratory care, had their respiratory equipment (e.g., oxygen tubing, nebulizers) properly stored while not in use, and dates on the residents' oxygen tubing. The findings included: 1. On 03/18/24 at 12:25 p.m., Resident #555, who had pneumonia, was receiving oxygen via nasal cannula at 1.5 liters/minute according to the flow meter on the standard oxygen concentrator (a machine that uses room air to make oxygen for people who need supplemental oxygen). There was no date on oxygen tubing, so that the staff would know how long the tubing has been in use. Resident #555 current physician's orders included the following related to respiratory care: -Has/is the resident experienced shortness of breath while lying flat? If yes, please create a health status note stating shortness of breath while lying flat and any…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-21 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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 did not ensure medications were inaccessible to unauthorized staff, residents, and visitors for six (Residents #56 #107, #54, #43, #133, and #407) on three of three floors (2nd, 3rd and 4th floors) and did not ensure medication and treatment carts were secured on two of three floors (2nd and 3rd floors). Photographic evidence was obtained. Findings included: On 3/19/24 at 9:15 a.m. Staff B, Licensed Practical Nurse (LPN) left a brown glass medication bottle on top of the medication cart when she went to administer medications to a resident. The cart was not positioned where it was always visualized by Staff B. On 3/20/24 at 12:50 p.m. the 3rd floor medication storage rooms and medication carts were observed, and an interview was conducted with Staff L, Licensed Practical Nurse (LPN), Unit manager (UM). Staff L said a resident with multi dose medications such as eyedrops should be labeled with open date, use by date, and staff's initials. The number…

    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 · E2024-03-21 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to store, prepare, and serve food according to food safety standards, as evidenced by the following: -Refrigerated ready-to-eat, pureed Time/Temperature Control for Safety Food was not dated correctly. -Raw chicken was not covered while stored in the walk in refrigerator to prevent contamination of other stored food and equipment. -Clean eating equipment was not inverted while being stored to prevent contamination. -Clean trays and cooking equipment was not stored to protect from contamination from impelled or falling dead insects and insect fragments from an insect electrocution device. -The facility dish machine did not have an affixed with an easily accessible and readable data plate by the manufacturer that indicated the machine's design and operation specifications. -Two ice storage bins in the third and fourth floor nourishment rooms were not clean to sight. -Multiple Imperial nutritional shakes stored in the fourth floor nourishment…

    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 · E2024-03-21 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview, staff failed to offer hand hygiene before meals to three (#30, #111, and #555) of three randomly observed residents, who ate in their rooms, during two of two facility meals on the same floor. Additionally, two nurses failed clean or disinfect the wrist blood pressure cuff before or after use and failed to perform hand hygiene before administering four (#12, #76, #141, and #445) of 13 residents' medications. The findings included: 1, During the Dining Observation Task during breakfast on 03/18/24 at 08:38 AM, Certified Nursing Assistant (CNA), Staff T served Resident #111's breakfast in his room. The CNA, Staff T set up the resident's food and she asked the resident if he wanted condiments. CNA used a knife and a fork to put jelly on his toast. CNA, Staff T did not offer hand hygiene to the resident before he ate. The CNA, Staff T put the toast in Resident #111's hand to eat. During breakfast observation on 03/19/24 at 08:25 AM CNA, Staff U brought Resident #30 her breakfast tray to her room and set up her meal. CNA, Staff U did not offer…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain the dignity of one of one randomly observed resident (#39), who was not properly dressed in the hall way. The findings included: On 03/18/24 at 06:45 AM, when the survey team arrived on the second floor, Resident #39 was near the nurses station in her wheelchair and was wearing an incontinence brief on her lower body. She was holding a denture cup and said that her dentures were missing from the denture cup. There was no staff at the nurses station, but the resident was in direct line sight of a nurse down the hallway. There were four other residents also sitting in the TV room nearby. Resident #39 was originally admitted on [DATE] and readmitted on [DATE]. Her diagnoses included dementia and anxiety disorder. The most recent comprehensive resident assessment, the Minimum Data Set, Significant Change in Status assessment, dated 08/05/23 indicated that the resident had a Brief Interview for Mental Status score of 3, which meant she…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 ensure the proper fitting of a wheelchair for one resident (#514) out of eighty-four residents sampled for the abilities to maintain their independence. Findings included: An observation was made on 3/18/24 at 9:15 a.m., of Resident #514 ambulating out of her room, pulling her wheelchair behind her with outstretched arms behind her and an attached urinary catheter hanging on the wheelchair. The resident was pleasant and sat in her wheelchair during the initial introductions. The resident had old bilateral bruises on her cheeks and a healing laceration to the bridge of her nose. An observation was made of the resident's feet not touching the ground and dangled approximately eight to ten inches from the floor. The resident denied self-propelling with her upper extremities and stated she could walk. For safety reasons the staff was immediately notified of this occurrence. A nursing staff member stated physical therapy was responsible for the wheelchairs and their location was on the same hallway down from the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide activities of daily living (ADL) related to incontinence care for two dependent residents (#123 and #98) out of three sampled residents. Findings included: 1. Review of Resident #123's admission Record revealed she was admitted to the facility on [DATE] from an acute care hospital with medical diagnoses of quadriplegia, ataxia, muscle weakness, malignant neoplasm of an unspecified part of the bronchus or lung, and secondary malignant neoplasm of bone. An interview was conducted on 03/18/24 at 8:10 a.m. with Resident #123. She said for the last couple days only, she had not been changed as often. She said she should be changed at least once a shift but the 3:00 p.m. to 11:00 p.m. shift on 3/17/24 did not change her. She said she asked the 11:00 p.m. to 7:00 a.m. on 3/17/24 Certified Nursing Assistant (CNA) to change her when she came on shift, and she did. Resident #123 said she was not soaked thankfully. She said it happened one other time…

    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
Show the remaining 6 citations
  • Potential for harm · D2024-03-21 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to document an accurate initial skin assessment and obtain orders for an open area of the skin for one (Resident #515) out of four residents sampled for skin conditions (non-pressure related). Findings included: An observation was made on 3/18/24 at 9:40 a.m., of Resident #515 in her bed with her left knee exposed during observation. An observation was made of a loose dressing dated 3/15/24 exposing wound from underneath [photographic evidence obtained]. Resident #515 stated no one had seen her knee but someone placed a dressing on top of her wound but could not recall when. The resident stated she is here for rehabilitation after a fall in which she sustained a radial fracture. An observation was made of the resident 's right arm in a sling. A second observation and interview were conducted on 3/19/24 at 9:00 a.m. with Resident #515. The resident's left knee was completely exposed with no dressing. The wound had a thick dried yellow…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure care to prevent pressure ulcer development and promote the healing of existing pressure ulcers/injuries for two (Resident #47 and #144) of two residents sampled for skin and pressure ulcers. Findings Included: A review of Resident #47's admission record revealed an admission date of 10/12/23 with diagnoses not limited to dementia, chronic respiratory failure, high blood pressure, peripheral vascular disease, cerebral infarction with left side weakness, and bed confinement. The following orders: -Order dated 10/13/23, Do Not Resuscitate (DNR). -Order dated 11/29/23, Comfort measures only (CMO) include the following, transfer to hospital or ER if desired by resident and Health Care Surrogate. Initiate invasive artificial nutrition if desired by resident or Health care surrogate. Initiate IV Hydration if desired by resident or Health care surrogate. Procedures per physician order. Initiate antibiotics if desired by resident or health…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    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 ensure the medication error rate was less than 5.00%. Thirty-seven medication administration opportunities were observed, and eight errors were identified for five residents (#455, #56, #43, #125, and #12) of ten residents observed. These errors constituted a 21.62% medication error rate. Findings included: On 3/19/24 at approximately 8:24 a.m., Staff B, Licensed Practical Nurse (LPN) was observed preparing and administering Resident #455's medication. Staff B checked Resident #455's blood pressure, it was 151/69 and heart rate was 72 beats per minute prior to preparing the medication. Staff B prepared and administered Insulin 3 units. The following medications were prepared and administered: Flomax 0.4, Clonidine 0.1, Eliquis 5 mg 2 tablets (blood thinning medication, requires monitoring for signs or symptoms of bleeding), Finasteride 5 mg, Gabapentin 300 mg, Metformin 500 mg, Metoprolol 50 mg (Blood pressure check ordered including parameters of when it is safe to administer), Nifedipine 60 mg, Metformin…

    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 · D2021-12-16 · 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

    Based on observation, interview, and record review the facility failed to ensure the immediate surrounding environment for one (Resident #61) of two residents with diet orders of nothing by mouth (NPO) was free of accident hazards. Findings included: An interview on 12/15/21 at 8:11 a.m. with Resident #61's Power of Attorney (POA) revealed the resident is non-verbal and is unable to swallow, meaning the resident cannot intake anything by mouth. Resident #61's movement and ability to reach is limited and post-stroke requires extensive assistance from staff. A document review of Resident #61's admission record revealed the resident was admitted to the facility in October 2021 with medical diagnosis of dysphasia (difficulty swallowing) following cerebral infraction, Parkinson's disease, dementia, and muscle weakness. The resident's Minimum Data Set (MDS) assessment, dated 10/27/21, revealed the resident had severe cognitive impairment with total dependence on staff for bed mobility and eating. A document review of Resident #61's Order Summary Report revealed an active 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-10-09 · 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 observation, interview and record review the facility failed to implement two (#108 and #17) of 44 sampled residents Comprehensive Resident Centered Care Plan interventions post falls related to floor mats 1. Observation on 10/07/20 at 5:15 p.m. Resident #108 was lying in bed dressed and groomed. There were no floor mats noted at the bedside. Observation on 10/08/20 at 11:00 a.m. Resident #108 was lying in bed with his oxygen in place. No floor mats were noted on the floor. Observation on 10/08/20 at 4:54 p.m. Resident #108 was lying in bed with his eyes closed. His head of the bed was elevated. No floor mats were noted beside the bed. Observation on 10/09/20 at 1:00 p.m. Resident #108 was lying in bed with oxygen in place. No floor mats were present. Staff J Registered Nurse, Unit Manager stated that the resident had not had floor mats since he was ordered Comfort Measures Only (CMO). She stated that she had audited his chart today and updated the care plan to remove the floor mats. She verified that…

    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 before2020-10-09 · 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 observation, interview and record review the facility failed to ensure that residents who need respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice related to tracheostomy care for one (#117) of one resident with a tracheostomy and not maintaining tubing for oxygen off the floor for 5 (#108, #117, 99, 35, 104) of 18 residents on respiratory treatments. Findings included: 1. Observation on 10/08/20 at 10:10 a.m. of Staff I, Registered Nurse (RN) with Resident #117. The resident was lying in bed with the head of the bed elevated. Staff I washed her hands and announced herself. She donned a gown and gloves, she already had on a mask and face shield. The resident's oxygen saturation was 93%. She opened a sterile tracheostomy (trach) kit on a sterile barrier on the bedside table. She then removed her gloves and sanitized hands During the donning of the sterile gloves she ripped one and had to open another sterile…

    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

“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 / managerTypeRoleSince
PERRYMAN, DONNAIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 07/01/1985
WEISBERG, ROBERTIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 07/01/1985
LEVINE, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/18/2025
MENORAH MANOR INCOrganizationTRUSTEE OF THE SNFsince 07/01/1985

CMS files one row per role, so the 9 rows in the source record cover these 4 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.

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.

$21.2M
Net patient revenuemost recent cost report
-8.4%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 58%Medicare 16%Other / private 26%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

$406per resident / day
operating cost
$12,331per month
≈ monthly operating cost
$374per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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 105504. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-03-21, 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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