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Westminster Suncoast

1095 Pinellas Point Dr S, Saint Petersburg, FL 33705 · Non profit - Corporation · 120 certified beds · (727) 867-1131 Medicare & Medicaid certified

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Flagged for abuse
Insights

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

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Feb 2026
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (21) — 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.

2/5
CMS overall
2 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 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1100 62nd Ave S · (727) 866-3166 · Call to confirm hours
Pharmacy
3030 54th Ave S · (727) 864-2515 · Call to confirm hours
Grocery
2479 Lynn Lake Cir S · (727) 520-2061 · Call to confirm hours
Park
7399 14th St S · (727) 893-7441 · Typically dawn to dusk
Place of worship
1060 62nd Ave S · (727) 866-1188

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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 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 fell from 3 to 2 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 rating2★
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 increased5.7%8.7%15.4%better
Long-stay residents who lose too much weight5.9%5.5%5.4%worse
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 infection0.4%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms3.2%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.4%2.5%3.3%better
Long-stay residents whose ability to walk worsened5.7%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication8.2%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers5.3%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control5.2%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table1.7%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.1%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine85.9%94.7%79.4%typical
Short-stay residents rehospitalized after admission28.6%26.1%22.6%worse
Short-stay residents with an outpatient ER visit8.9%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.112.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.001.151.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

56.0% 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 328 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.0%U.S. median 51.5%
Got home and stayed home
10.2%U.S. median 10.7%
Went back to hospital
43.1%U.S. median 56.6%
Met the expected recovery
0.50U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.14hours / resident / day
Speech therapy

Met the expected recovery: 43.1% 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 174 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.50 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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 SNF56.0%CMS range 51.5–60.851.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.2%CMS range 7.8–14.410.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge43.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge58.0%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 discharge30.5%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 identified96.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting97.0%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 discharge91.7%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 worsened0.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.3%CMS range 5.3–10.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.231.02Oct 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

0.83
RN hours/ resident / day
0.64
LPN hours/ resident / day
2.21
Aide hours/ resident / day
3.67
Total nurse hours/ resident / day
0.59
RN hoursweekends
35.0%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 88.8 residents a day — about 74% occupied, or roughly 31 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.83 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 3.33 hrs/resident/day on weekends vs 3.81 on weekdays — 13% thinner on weekends. RN hours go from 0.92 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%. 1 administrator has left in the past year.

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

6
deficiencies at the latest standard inspection (2024-04-25)
5
at the previous standard inspection (2022-02-16)

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · E2026-02-25 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interviews the facility failed to ensure wound care was completed as ordered for two (#1 and #6) of three residents sampled for the treatment of non-pressure wounds, failed to ensure accurate and timely assessments were completed for two (#5 and #6) of three residents sampled for skin assessments. Findings included:1.Review of Resident #1's admission Record showed the resident was admitted on [DATE] and included diagnoses not limited to metabolic encephalopathy, repeated falls, and unspecified dementia unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. The resident was discharged to an acute care hospital on 6/21/25. Review of Resident #1's progress notes revealed a change in condition on 6/6/25. The note revealed the resident had a skin tear, neuro (checks) and fall protocol were implemented as staff had assisted resident up. Review of Resident #1's Treatment Administration Record (TAR) showed an 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 · Dcited before2026-02-25 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews the facility failed to provide the services ordered by a physician for one (#1) of three residents sampled for treatment of a non-pressure wound. The facility falsified documentation showing wound care had been completed during that time and failed to recognize wound care had not been completed for 8 days during a weekly skin assessment.Findings included: Review of Resident #1's admission Record showed the resident was admitted on [DATE] and included diagnoses not limited to metabolic encephalopathy, repeated falls, and unspecified dementia unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. The resident was discharged to an acute care hospital on 6/21/25. Review of Resident #1's progress notes revealed a change in condition on 6/6/25. The note revealed the resident had a skin tear, neuro (checks) and fall protocol were implemented as staff had assisted resident up. Review of Resident #1's Fall Risk Evaluation, dated…

    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 · D2026-02-25 · tag F0761 — failed to label and store drugs safely — isolated
    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 observations, interviews and record review the facility failed to ensure medications were stored securely and not accessible by unauthorized staff, visitors, and residents related to:1. medications left unattended on a medication cart on two (300/400) of three units; 2. medications left unattended in a resident's room for one resident (#7) who was not assessed to self-administer medications out of one resident sampled for self administration of medications.Findings included: 1. An observation on 2/25/26 at 8:05 a.m. showed a bag of Vancomycin 1 gram/200 milliliter (mL) sitting on top of an unattended medication cart parked outside of residents rooms on the 400 hall. The observation showed Staff A, Registered Nurse (RN) was in a resident room on the 300 hall. The staff member returned to the medication cart and reported the medication should not have been left on top of the cart. During an interview on 2/26/26 at 2:09 p.m. the Director of Nursing stated medications should not be left unattended on the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-25 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review, the facility failed to maintain medical records with accurate documentation for one resident (#4) of three residents reviewed for incontinence care. Findings include:A review of Resident #4's admission record revealed an initial admission date of 8/7/25, with diagnoses to include need for assistance with personal care, difficulty in walking, speech and language deficits following unspecified cerebrovascular disease, and major depressive disorder, recurrent, moderate.A review of Resident #4's Quarterly Minimum Data Set (MDS) assessment, dated 5/22/25 in Section C - cognitive patterns revealed a Brief Interview Mental Score (BIMS) of 9, indicating moderately impaired cognition.A review of Resident #4's Bowel and Bladder tasks revealed incontinent care was not provided on 8/28/25 for the 3-11 shift, 9/8/25 for the 7-3 shift, 9/11/25 for the 11-7 shift, 9/12/25 for the 3-11 shift, 9/30/25 for the 11-7 shift, and 10/5/25 for the 3-11 shift for Resident #4.On 2/25/26 at 2:45 p.m. an interview with the Director of Nursing (DON) revealed none of the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-25 · 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 observations, record reviews, and interviews the facility failed to implement an effective infection control program related to ensuring staff members donned appropriate Personal Protective Equipment (PPE) to prevent the transmission of communicable conditions for two (#9 and #10) of five residents with physician orders for contact precautions.On 2/25/26 at 7:39 a.m. an observation showed Staff C, Certified Nursing Assistant CNA) dressed in wine-colored scrubs standing in front of Resident #9 (sitting in wheelchair) and speaking with the resident. The staff member left the room. Staff B, Licensed Practical Nurse (LPN) confirmed a Contact Precautions sign was posted on the resident's door and no Personal Protective Equipment (PPE) was available at the doorway. Review of the Contact Precaution sign posted on Resident #9's door Instructed, STOP CONTACT PRECAUTIONS EVERYONE MUST: Clean their hands, including before entering and when leaving the room. PROVIDERS AND STAFF MUST ALSO: Put on gloves before room…

    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 before2024-11-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to protect the rights of one (#6) of one resident related to the physical abuse from a staff member. Findings included: On 9/23/24 at 10:15 a.m., Resident #6 was observed sitting in a specialized wheelchair in her room. The resident reported mistreatment considering how she was treated and informed writer you're probably the worst one. The resident would not explain the statement related to mistreatment stating, it's over and done with hopefully. The resident reported being blind. Review of Resident #6's admission Record revealed the resident had diagnoses not limited to unspecified cerebral infarction, unspecified severity unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, recurrent moderate major depressive disorder, and adjustment disorder with other symptoms. Review of Resident #6's progress notes revealed the following: - Late Entry behavior note, dated 9/16/24 at 1:51 p.m. and effective 9/14/24 at 1:49 p.m., Resident sliding out of chair, staff…

    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 · D2024-11-12 · 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

    Based on observation, interview, and record review, the facility failed to report an alleged violation involving abuse immediately or no later than 2 hours for one (#6) out of eight sampled allegations of abuse. . Findings included: On 9/23/24 at 10:15 a.m., Resident #6 was observed sitting in a specialized wheelchair in her room. The resident reported mistreatment considering how she was treated and informed writer you're probably the worst one. The resident would not explain the statement related to mistreatment stating, it's over and done with hopefully. The resident reported being blind. Review of Resident #6's admission Record revealed the resident had diagnoses not limited to unspecified cerebral infarction, unspecified severity unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, recurrent moderate major depressive disorder, and adjustment disorder with other symptoms. Review of Resident #6's progress notes revealed the following: - Late Entry behavior note, dated 9/16/24 at 1:51 p.m. and effective 9/14/24 at 1:49 p.m.,…

    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 · D2024-04-25 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure an accurate care plan was in place related to Advanced Directives for one resident (#101) out of 40 sampled residents. Findings included: Review of Resident #101's admission Record revealed he was initially admitted to the facility on [DATE] and readmitted to the facility on [DATE] from an acute care hospital. His diagnoses included dysphagia following unspecified cerebrovascular disease, muscle weakness, abnormalities of gait and mobility, repeated falls, and speech/language deficits following a cerebrovascular disease. A review of Resident #101's physician orders revealed an order, dated 4/21/24, for Do Not Resuscitate (DNR). Review of Resident #101's medical record revealed a State of Florida's Do Not Resuscitate Order, dated 3/29/24, completed by Resident #101's Durable Power of Attorney (POA) and signed by the physician on 3/30/24. Review of Resident #101's care plan, dated 4/5/24, revealed the following: Residents Advanced Directives have…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-25 · 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 observations, interviews, and record review, the facility failed to ensure pressure relieving boots were applied to prevent the worsening of a pressure wound for one resident (#101) out of one resident sampled for pressure wounds. Findings included: Review of Resident #101's admission Record revealed he was initially admitted to the facility on [DATE] and readmitted to the facility on [DATE] from an acute care hospital. His diagnoses included dysphagia following unspecified cerebrovascular disease, muscle weakness, abnormalities of gait and mobility, repeated falls, speech and language deficits following a cerebrovascular disease. An observation was conducted on 04/22/24 at 10:16 AM. Resident #101 was observed to be in bed eyes closed, feet resting on the mattress, with his green air boots on the chair next to his bed, not in use. An observation was conducted on 4/23/24 at 10:41 AM. Resident #101 was observed to be lying on his right side, in bed, with the sides of both feet resting on the air mattress,…

    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 · D2024-04-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure identification and monitoring of a BIPAP (Biphasic positive airway pressure) machine was in place for one resident (#6) out of one resident sampled. Findings included: A review of Resident #6's admission Record revealed he was initially admitted to the facility on [DATE] and readmitted from an acute care hospital on 4/18/24. His medical diagnoses included encounter for surgical aftercare following surgery on the digestive system, muscle weakness, abnormalities of gait and mobility, repeated falls, heart failure, and Type 2 Diabetes Mellitus without complications. An interview and observation was conducted on 04/22/24 at 10:10 AM. Resident #6 was observed to be lying in bed with his BIPAP mask on. He said he brought the BIPAP machine from home and he puts it on himself. He was observed to remove the BIPAP from his face and place it on his over bed table. Review of Resident #6's medical record on 4/22/24 at 11:15 p.m. did not reveal…

    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 11 citations
  • Potential for harm · D2024-04-25 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews, the facility failed to ensure ongoing assessment and monitoring of the dialysis fistula (dialysis access port) before and after dialysis treatments for one resident (#37) out of three residents sampled. Findings included: On 4/22/24 at 12:19 p.m., during an observation and interview, Resident #37 was sitting in a wheelchair in her room after her dialysis appointment. She said the dialysis access port was recently changed due to bleeding from the left thigh to the right thigh. Review of Resident #37's admission record revealed an admission date of 07/23/22 with diagnoses including End Stage Renal Disease and dependence on renal dialysis, and complication of surgical fistula (dialysis access port), onset date 3/27/24. Review of a physician orders, dated 4/19/24, revealed the following: -Resident #37 was scheduled for 1) dialysis services at a dialysis center on Mondays, Wednesdays, and Fridays; -Completion of the dialysis communication form before the resident leaves the facility for dialysis and on return to the facility after dialysis. A 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 · D2024-04-25 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure one resident (#72)with Post Traumatic Stress Disorder (PTSD) was assessed to identify triggers which may re-traumatize the resident out of 40 residents sampled. Findings Included: On 04/25/2024 at 2:00 and 3:00 p.m., Resident #72 was observed sitting with a group of residents attending an activity. Review of the admission Record for Resident #72 showed she was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses to include unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, Type 2 Diabetes Mellitus without complications, and post-traumatic stress disorder, unspecified. Review of a Minimum Data Set assessment, dated 03/1/2024, showed a Brief Interview for Mental Status (BIMS) score of 09 indicating Resident #72 was moderately cognitively impaired. Review of Resident #72's care plan showed the following: Focus: The resident has a…

    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 · D2024-04-25 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure a paid caregiver for one resident (#205) out of 40 sampled residents had specific competencies and skill sets necessary to care for the resident's care needs. Finding included: Resident #205 was admitted to the facility on [DATE] with diagnoses of Hemiplegia and Hemiparesis following a cerebrovascular disease affecting the right dominant side, abnormalities of gait and mobility, and muscle weakness. An interview was conducted on 04/22/24 at 10:54 AM with Resident #205's private caregiver. The private caregiver was observed to have gloves on and said she had just taken the resident to the bathroom. She said the resident arrived at the facility last Thursday after having a stroke and went to the hospital. She said the resident had weakness on her right upper and lower extremities. The private caregiver said she had been transferring the resident to the bathroom, giving the resident showers, and helping get her dressed because when…

    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 · Ecited before2022-02-16 · tag F0759 — failed to keep medication error rate low — pattern
    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 observations, interviews and record review, the facility failed to ensure that the medication error rate was less than 5.00%. Twenty-seven medication administration opportunities were observed and eighteen errors were identified for three residents (#130, #79, #131) observed. These errors constituted a 66.67% medication error rate. Findings included: 1. On 2/14/22 at 10:28 a.m., an observation of medication administration with Staff J, Registered Nurse (RN), was conducted with Resident #79. Staff J. was observed dispensing the following medications: -Loratadine 10 milligrams (MG) tablet orally -Fluticasone Prop 50 micrograms (MCG) Spray 1 spray each nostril -Lisinopril 20 mg. 1 tablet orally -Tumeric 1 capsule orally -Amlodipine Besylate 2.5 MG 1 tablet orally During the dispensing of the medications for Resident #79, Staff J said the Cyanocobalamin 1,000 microgram (MCG)/milliliter (ML) was not in the medication cart. Staff J confirmed the medication was not administered. She confirmed the medication pass was late and not within the 6-10 a.m. window. She stated, I am not…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-02-16 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to treat residents with respect and dignity related to one (Resident #230) of six residents with an indwelling catheter who did not have a privacy cover on the urine drainage bag, on two (02/13/2022 and 02/15/2022) of four survey days. Findings included: On 02/13/2022 at 10:49 a.m., an observation of Resident #230 revealed the resident had an indwelling urine catheter, with the drainage bag not covered by a privacy cover, and the bag was visible from the room door and hallway. On 02/15/2022 at 9:49 a.m., an observation of Resident #230 revealed the resident had an indwelling urine catheter, with the drainage bag not covered by a privacy cover, and the bag was visible from the room door and hallway. During an interview on 02/15/2022 at 9:54 a.m. with Staff A, Certified Nursing Assistant (CNA), she confirmed the drainage bag did not have a privacy cover. In an interview with Staff B, Registered Nurse (RN) on 02/15/2022 at 10:05 a.m., he said it was the facility's policy to ensure a urine catheter drain bag 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 · D2022-02-16 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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, interviews, and policy review, the facility did not ensure the advance directive wishes were implemented for one resident (#35) of eighty-three residents reviewed for advance directives. Findings included: A review of the face sheet in the admission record for Resident #35 revealed he was admitted with a diagnosis of hemiplegia following cerebral infarction affecting the left non dominant side. Review of the MDS (minimum data set) assessment dated [DATE] reflected a BIMS (brief interview for mental status) score of thirteen, indicating his cognition was relatively intact. A review of the physician's orders in the electronic medical record dated 1/25/21, revealed an advance directive of Full Code. Further review of the physician's orders reflected an order dated 2/8/22 indicating patient wishes to sign DNR (do not resuscitate) DC (discontinue) when done. Review of the medical record located at the nurses' station on the unit where Resident #35 resided on 2/14/22, revealed a laminated…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-02-16 · 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 observation, interview, and record review, the facility failed to implement the care plan for one (Resident #34) of two residents sampled for vision and hearing. The facility staff failed to offer Resident #34 their eyeglasses on three of three observed days. The failure of the staff to offer Resident #34 their eyeglasses per the care plan, resulted in a failure to identify Resident #34's eyeglasses were missing. Findings included: On 02/13/22 at 12:45 p.m., Resident #34 was observed lying in bed under the covers saying help . is someone going to help? Upon interviewing the resident, Resident #34 stated her stomach hurt and assistance was needed. The resident's call light was within reach, however, Resident #34 said I can't see [it] . The location of the call light for the resident was explained and the resident pressed the call light button for assistance from staff. Resident #34 said, I hate this thing [referring to the call light button], I can't hear it. Further observation of the resident revealed her…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-02-16 · tag F0770 — failed to provide lab services — isolated
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to obtain and verify laboratory results for a physician ordered urinalysis (U/A) for one (Resident #6) of two residents sampled for urinary tract infections. Findings included: Resident #6's minimum data set (MDS), dated [DATE], revealed the resident was severely cognitively impaired, required extensive assistance for toilet use, and had occasional urinary incontinence. A review of Resident #6's Department Notes, dated 01/19/2022 at 12:36 p.m. revealed CNA [certified nursing assistant] reports resident weeps upon urination. ARNP [advanced registered nurse practitioner] visited and order received for UA, C&S [urinalysis culture and sensitivity]; straight cath [catheter] if needed. A review of Resident #6's electronic Medication Administration Record (e-MAR), dated January 2022, revealed under description, an order for UA C&S MAY STRAIGHT CATH IF NEEDED. Further review revealed on 01/19/2022 at 10:00 p.m. a check mark; which indicated 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-11-19 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure that 1) temperatures of food held for meal service were taken and recorded in facility temperature logs before serving to residents for all resident units and 2) that clean dishware used for resident food service throughout the facility was stored under sanitary conditions in the kitchen. Findings included: 1. A tour of the facility kitchen was conducted on 11/16/20 at 12:22 p.m. with Staff G, Dietary Supervisor. She explained that the kitchen was not a full food production kitchen and that most of the food for resident meals was received already cooked for service from a production kitchen in a different building on the community campus. There was a walk-in refrigerator, reach in refrigerator, and reach in freezer that held items including salad items, beverages, tubs of prepared tuna and egg salad, desserts, and bread that were used to prepare some food items for residents. She explained that food for each meal was received in hot boxes and placed on steam tables in each of the facility's three dining…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2020-11-19 · 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 observations, record review, interviews, and policy review the facility did not ensure the medication error rate was below 5% regarding two residents (#55 and #175) of six sampled residents observed during medication administration. This resulted in four errors from 25 opportunities and a medication error rate of 16%. Findings included: 1) On 11/17/20 at 4:26 p.m. an observation was conducted during medication administration with Staff E, RN. Staff E, RN poured medications for Resident #55 including Nuplazid 34 mg capsule, along with a cup of water. Staff E, RN brought the water and medications to Resident #55's room along with a pair of gloves. After to entering the room, Staff E, RN placed the medications, a thermometer, and a pulse oximeter along with the cup of water on a tissue on the bedside table. She put the gloves on. Then Staff E, RN checked Resident #55's temperature and pulse ox. Staff E, RN gave Resident #55 his medications with water. Then Staff E, RN removed the gloves and washed her hands in the sink. Staff E, RN gathered the supplies and exited the room…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-11-19 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility did not ensure a clean and sanitary environment for one resident room (216) on one of four units surveyed. Findings included: Multiple observations of room [ROOM NUMBER] on the D wing of the facility were made during the survey. On 11/17/20 at 10:05 a.m. the floor of the room was observed to have a visible film, was sticky underfoot in places, and had visible debris and crumbs around the resident's two lounge chairs. One of the chairs was upholstered with fabric and the other with leather. Both chairs had visible soiling and build-up of soil on the seats and arms and what appeared to be food particles on the cushions. One of the tray tables had visible areas where something appeared to have spilled and not been wiped down and the tray was dirty. The surfaces including the resident's dresser were cluttered and did not appear to have been wiped down. The room was observed in the same condition on 11/17/20 at 12:35 p.m., on 11/18/20 at 9:25 a.m., 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.

    Environmental Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to WESTMINSTER COMMUNITIES OF FLORIDA — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 54.3-2.3 vs chain
Health inspection 2 of 53.7-1.7 vs chain
Staffing 4 of 54.3-0.3 vs chain
Quality measures 4 of 54.8-0.8 vs chain
The other 8 homes this chain runs (chain average 4.3★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
DODDRIDGE, DONALDIndividualCORPORATE DIRECTORsince 01/01/2025
KEITH, HENRYIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2024
FAUBEL, MEGANIndividualCORPORATE OFFICERsince 01/01/2024
HENNIS, GARRYIndividualCORPORATE OFFICERsince 01/01/2024
WESTMINSTER SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 04/01/2001
BRUNNER, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/16/2025
PRAWER, ADAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2014

CMS files one row per role, so the 10 rows in the source record cover these 7 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.

$14.4M
Net patient revenuemost recent cost report
-88.3%
Operating marginrevenue minus expenses
$2.5M
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 43%Medicare 23%Other / private 34%

This home reported $2.5M paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

$710per resident / day
operating cost
$21,596per month
≈ monthly operating cost
$377per 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 105926. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-04-25, 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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