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Healthcare And Rehab Of Sanford

950 Mellonville Ave, Sanford, FL 32771 · Non profit - Other · 114 certified beds · (407) 322-8566 Medicare & Medicaid certified

Call the home — (407) 322-8566 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)

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 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
309 W 1st St · (407) 324-5035 · Call to confirm hours
Pharmacy
503 E 1st St · (407) 323-8403 · Call to confirm hours
Grocery
509 E 7th St · (407) 915-6777 · Call to confirm hours
Park
1211 S Mellonville Ave · (407) 708-7686 · Typically dawn to dusk
Place of worship

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 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 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 increased12.7%8.7%15.4%better
Long-stay residents who lose too much weight4.5%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 injury5.4%2.5%3.3%worse
Long-stay residents whose ability to walk worsened11.5%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication23.7%14.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers5.4%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control4.4%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 table2.4%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication5.9%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine100.0%94.7%79.4%better
Short-stay residents rehospitalized after admission32.0%26.1%22.6%worse
Short-stay residents with an outpatient ER visit5.4%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.302.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.441.151.80better

* 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.

41.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.3%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
41.5%U.S. median 56.6%
Met the expected recovery
0.40U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 41.5% 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 53 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 0.40 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 SNF41.3%CMS range 31.3–54.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 7.5–14.310.7%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 discharge41.5%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 discharge37.7%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 discharge24.5%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 identified100.0%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 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.5%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 hospitalization8.6%CMS range 5.0–12.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.901.02Oct 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

0.53
RN hours/ resident / day
0.67
LPN hours/ resident / day
2.03
Aide hours/ resident / day
3.23
Total nurse hours/ resident / day
0.42
RN hoursweekends
43.8%
Total nursing turnover
58.8%
RN turnover

How full it usually is: this home is certified for 114 beds and averages 108.5 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. 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 3.23 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 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 3.12 hrs/resident/day on weekends vs 3.27 on weekdays — 5% thinner on weekends. RN hours go from 0.57 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as 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

1
deficiencies at the latest standard inspection (2025-04-30)
5
at the previous standard inspection (2023-10-12)

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

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · F2025-12-10 · tag F0880 — failed to prevent and control infections — widespread
    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 record review and interview, the facility failed to develop and implement a comprehensive system to monitor antibiotic use, failed to effectively document and maintain infection surveillance during a Coronavirus disease 2019 (COVID-19) outbreak, and failed to ensure appropriate infection control practices were implemented to prevent the spread of infection in 2 of 2 units. Findings: Review of an Infection Control Assessment and Response Report (ICAR) conducted on 10/20/25 by the Florida Department of Health (DOH) revealed the visit was initiated due to a COVID-19 outbreak affecting residents and staff. The ICAR included recommendations related to transmission-based precautions (TBP) and environmental services (EVS), including limited access to hand sanitizer pumps and the requirement to use Environmental Protection Agency (EPA)-approved disinfectants for Candida auris in appropriate rooms. The ICAR further identified frontline staff had not received adequate training on which isolation precautions required the use of Viresept disinfectant versus Virex disinfectant,…

    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 · E2025-12-10 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to accurately document administered medications on the Medication Administration Record (MAR) for 1 of 3 residents reviewed for medications, of total sample of 5 residents, (#1).Findings: Review of resident #1's medical record revealed he was admitted to the facility on [DATE] and readmitted on [DATE] from an acute care hospital. His diagnoses included pneumonia, resistance to multiple antimicrobial drugs, Escheria coli infection, quadriplegia, and dementia. Review of resident #1's physician orders revealed an order dated 11/30/25 for Cefiderocol 2 grams intravenously every 8 hours for the treatment of pneumonia, through 12/08/25. Review of resident #1's MAR for December 2025 revealed blank entries for Cefiderocol doses scheduled on 12/03/25 at 2:00 PM and 12/08/25 at 6:00 AM. The MAR also reflected an X for the scheduled dose on 12/01/25 at 2:00 PM; however, there was no documentation in the medical record indicating the reason the medication was 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-10 · 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 promote dignity when administering injectable medications to 1 of 1 resident reviewed for dignity, out of a total sample of 5 residents, (#4). Findings: Review of resident #4's medical record revealed he was admitted to the facility on [DATE] with diagnoses including muscle wasting and atrophy, type 2 diabetes, infection of an amputation stump, and heart failure. Review of resident #4's Minimum Data Set admission assessment with an Assessment Reference Date of 10/19/25 revealed a Brief Interview for Mental Status score of 15 out of 15, indicating intact cognition. The MDS assessment noted the resident did not reject evaluation or care necessary to achieve his goals for health and well-being. During a tour of the facility on 12/10/25 at 9:57 AM, a nurse was observed administering an injection to resident #5's abdomen while the resident sat in a wheelchair in a common area near rooms [ROOM NUMBERS]. There were five additional residents…

    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 · D2025-04-30 · 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 provide splints for 1 of 3 residents reviewed for range of motion (ROM), of a total sample of 36 residents, (#75). Finding: Resident #75 was admitted to the facility on [DATE] with diagnoses of hemiplegia and hemiparesis following an intracranial hemorrhage affecting his left non-dominant side, atrophy and type 2 Diabetes Mellitus. Resdient #75 was able to express simple needs and answer questions appropriately. On 4/27/25 at 12:30 PM, resident #75 was observed in bed, his left arm and hand were contracted. The resident stated he had a stroke and was supposed to wear a splint everyday. He stated no one helped him with the splint, and added, I can't put them on myself. Review of the of the Occupational Therapist Discharge summary dated [DATE], noted resident #75 met the goal of wearing a left upper extremity elbow extension splint and a resting hand splint. The discharge instructions noted resident #75 would remain in the facility as 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 · Ecited before2023-10-12 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and record review, the facility failed to implement and monitor the Performance Improvement Plan (PIP) developed by the Quality Assurance Performance Improvement (QAPI) committee to ensure continued accuracy with all resident Minimum Data Set (MDS) assessments and Development/Implementation of Comprehensive Resident Care Plans. Findings: Review of the facility's survey history revealed repeat deficiency concerns for MDS assessment accuracy over the past 2 surveys, and during the current survey. The survey history revealed the facility had inaccurate MDS assessments on 3/2020, and 12/15/21. This is the facility's third deficiency in 4 years for inaccurate MDS assessments. On 10/12/23 at 2:48 PM, an interview was conducted with the facility's Administrator, and Director of Nursing (DON) regarding the facility's QAPI program. The Administrator acknowledged the facility had a PIP for MDS from the last survey. He confirmed there were audits in place through September 2022. The Administrator acknowledged he could not locate current audits for this year for MDS…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-12 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment in 4 rooms on 1 of 2 units (Unit 2: rooms #226, #230, #232, and #238). Findings: On 10/09/23 at 10:29 AM, 10/10/23 at 10:29 AM, and 10/12/23 at 10:12 AM, one of the closet doors in room [ROOM NUMBER] was resting on the side of the closet closest to the exit door. On 10/09/23 at 10:58 AM, resident #32 stated she had shared her cleanliness concerns in room [ROOM NUMBER] to staff. She explained, in the past, she had requested housekeeping to clean the bathroom but they did not do it. She indicated housekeeping did not always clean the toilet or mopped the floor. Review of the Grievance Log revealed two grievances were filed by resident #32 on 4/13/23 and 6/2/23 with concerns regarding room [ROOM NUMBER]'s environment and cleanliness. On 10/09/23 at 4:16 PM, resident #55 in room [ROOM NUMBER] stated she requested a toilet paper…

    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 · Dcited before2023-10-12 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure the Minimum Data Set (MDS) assessments accurately reflected health conditions regarding falls for 2 of 9 residents reviewed for accidents (#9, #74), and for a hearing device for 1 of 1 resident reviewed for hearing/vision (#94) and failed to accurately assess the prognosis for 1 of 1 resident reviewed for Hospice and end of life care (#3) of a total sample of 49 residents. Findings: 1. Resident #9 was admitted to the facility on [DATE] with diagnoses to include tibia fracture, type 2 diabetes, and anxiety. Review of the medical record noted the resident had an unwitnessed fall on 6/09/23 at 6:20 PM. A nursing progress note dated 6/10/23 at 2:00 AM, read resident #9's left ankle was swollen. An x-ray result indicated a fracture to the left distal tibia. Resident #9 was sent to the hospital for further evaluation and treatment. Review of the Quarterly MDS assessment dated [DATE], Section J indicated resident #9 had two or more falls with no…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-12 · 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 develop a plan of care for hearing aid devices for 1 of 1 resident reviewed for hearing and vision of a total sample of 49 residents, (#94). Findings: Resident #94 was admitted to the facility on [DATE] from an acute care hospital with diagnoses that included chronic kidney disease, hypertension and anxiety disorder. Review of the Agency for Healthcare Administration 5000-3008 Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form dated 8/22/23 revealed resident #94 was alert and oriented but had impaired sight and used hearing aids. Review of the Admission/readmit: Data Collection and Baseline Care Plan dated 8/25/23 revealed under the Sensory section his ability to hear was not assessed, but left and right hearing aids were indicated for devices that were used or needed. Review of the admission Minimum Data Set (MDS) assessment Section B dated 8/31/23 revealed he had adequate hearing, but the assessment…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-12 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide appropriate care and services related to the use of splints for 1 of 2 residents reviewed for position and mobility of a total sample of 49 residents, (#48). Findings: Review of resident #48's medical record revealed she was readmitted to the facility on [DATE]. Her diagnoses included lack of coordination, stroke, contractures of left hand, left elbow, right elbow and abnormal posture. Review of the Minimum Data Set (MDS) annual assessment with Assessment Reference Date of 9/20/23 revealed the Brief Interview for Mental Status was not conducted because resident #48 was rarely or never understood. The MDS assessment showed resident #48's cognitive skills for daily decision making were severely impaired. The assessment showed resident #48 was totally dependent on staff for bed mobility, transfers, dressing, eating, toilet use, and personal hygiene. The assessment noted no rejection of care necessary to obtain goals for her health and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2021-12-15 · tag F0867 — failed to act on quality-improvement findings — widespread
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to implement and monitor the Performance Improvement Plan (PIP) developed by the Quality Assurance & Assessment (QA&A) committee to ensure continued accuracy with all resident Minimum Data Set (MDS) assessments and Development/Implementation of Comprehensive Resident Care Plans. Findings: On 12/15/21 at 12:27 PM, the MDS Coordinator stated that all MDS assessments are required to be accurate, reflect the resident's medical care needs and completed in a timely manner In order to complete an accurate MDS assessment, she needed to conduct an observation and interview the resident, interview the nursing staff providing care to the resident, interview the resident's family/responsible party, review the nursing progress notes, physician orders and progress notes, hospital information and all consultations completed. The MDS Coordinator confirmed that current resident MDSs were not correct for their oxygen use, a resident MDS had not correctly identified her dialysis treatments, a resident discharge MDS had not been completed in 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.

    Administration Deficiencies · Deficient, Provider has date of correction
Show the remaining 5 citations
  • Potential for harm · E2021-12-15 · 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 20 nutritional supplement cartons were discarded prior to the use by date listed on the container in 1 of 2 nourishment rooms (200 Unit), and failed to ensure employee food items were not stored in 1 of 2 nourishment room (100 Unit). Findings 1. On 12/13/21 at 9:18 AM, an observation of the 200 Unit nourishment room revealed in the cabinet twenty 8 ounce cartons of Novasourse Renal 18% 2.0 calorie Nutritionally Complete formula with the use by date of June 2021. The 200 Unit Manager (UM) explained that the 11 PM -7 AM nurse was responsible to check the nourishment room every night to ensure any out dated items were discarded and not available for resident consumption. The 200 UM stated, The 20 cartons of Novasourse Renal had expired and should have been discarded. On 12/13/21 at 9:21 AM, the Registered Dietitian (RD) confirmed the 20 cartons of Novasourse Renal had expired in June 2021, and said, The cartons should have been discarded. 2. On 12/13/21 at 9:38 AM, an observation of the 100 unit…

    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 before2021-12-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review. the facility failed to identify and maintain 1 of 17 shared patient bathrooms on the 200 unit out of a total of 33 shared patient bathrooms (rooms 228-230). Findings: On 12/12/22 at 9:25 AM, 12/12/21 at 3:12 PM, 12/13/21 at 9:06 AM, and 12/14/21 at 9:57 AM, observations revealed approximately 12 inches of baseboard molding had separated from the wall in the shared bathroom for rooms 228-230. On 12/14/21 at 4:04 PM, the Maintenance Director stated he conducts resident room rounds daily to make observations of areas that need repair. He stated there is a book on each nursing unit for staff to document any issues they identify that need repair, and said, I check the book every morning and then complete the repairs. On 12/14/21 at 4:09 PM, an observation in the shared bathroom for rooms 228-230 was conducted with the Maintenance Director. The Maintenance Director explained he had just been in the bathroom earlier that morning and he had not seen the baseboard molding separating from the wall. He said, The molding should not be coming…

    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 · Dcited before2021-12-15 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Resident #29 was re-admitted to the facility on [DATE], from an acute care hospital with diagnoses that included multiple sclerosis, diabetes, and kidney failure. Resident #29's Order Summary Report, dated 9/08/21, revealed a physician's order for dialysis every Tuesday and Saturday at 5:45 AM. The resident's medical record revealed Dialysis Consultation forms, dated 9/11/21 through 12/02/21. The documentation showed resident #29 had dialysis treatment in place, as ordered by the physician starting on 9/11/21. The MDS Significant Change Assessment, with assessment reference date of 9/21/21, showed resident #29 had an active diagnosis of renal insufficiency, but did not list dialysis as a special treatment, procedure or program performed in the past 14 days. On 12/15/21 at 11:24 AM, the MDS Coordinator stated the MDS Significant Change Assessment was performed for resident #29 because she started dialysis. She explained the O section of the MDS was where special treatments like dialysis were indicated. 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-12-15 · 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 interview and record review, the facility failed to for 1 of 5 sampled residents reviewed for respiratory care (#92). Findings: Resident #92's Medical Record reflected that she was admitted to the facility on [DATE] with diagnoses including bipolar disorder, major depressive disorder, anxiety disorder, dementia with behavioral disturbances, Arteriosclerotic Heart Disease, (ASHD), and Atrial Fibrillation. Observations conducted on 12/12/21 at 9:25 AM, 12/12/21 at 3:04 PM, and 12/13/21 at 9:04 AM, revealed resident #92 was on oxygen at 3 liters per minute via nasal cannula (nc). Review of the Quarterly Minimum Data Set (MDS) assessment, dated 11/17/21, documented she had received oxygen. On 12/14/21, resident #92's physician ordered oxygen 1 liter via nasal cannula for shortness of breath as needed (PRN) from 9 PM to 9 AM. The Physician's Progress Note, dated 11/10/21, reflected a diagnosis of Hypoxemia, that the resident was on continuous oxygen via nasal cannula, that a chest x-ray would be ordered, and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-12-15 · 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 obtain a physician's order for the use of oxygen for 2 of 5 sampled residents reviewed for respiratory care (#22 & #36), and failed to ensure the oxygen concentrator's external filter was clean to promote proper flow of oxygen for 1 of 5 sampled residents reviewed for respiratory care (#92) of 11 residents receiving oxygen therapy. Findings: 1. Resident #22's medical record reflected she was admitted to the facility on [DATE] with diagnoses including Anxiety and Chronic Obstructive Pulmonary Disease (COPD). Observations conducted on 12/01/21 at 1:58 PM, 12/13/21 at 8:59 AM, 12/14/21 at 9:41 AM, 12/14/21 at 12:30 PM, and 12/15/21 at 9:50 AM revealed resident #22 had been on oxygen at 2 liters per minute via nasal cannula (nc). On 12/12/21 at 1:58 PM, resident #22 stated she had a diagnosis of pulmonary fibrosis, was on oxygen, received breathing medications, and had seen a pulmonary physician for her lung problems. Resident #22's care plan…

    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
JAFFE, HOWARDIndividualCORPORATE OFFICERsince 07/01/2003
KATZ-HALL, KATHYIndividualCORPORATE OFFICERsince 07/01/2003
MULLARKEY, JAMESIndividualCORPORATE OFFICERsince 07/01/2003
RICHMOND, PENNYIndividualCORPORATE OFFICERsince 07/01/2003
CONSULTING SUPPORT SERVICES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/21/2025
ELEUS HEALTH MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/21/2025
FACILITY SUPPORT COMPANY, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/21/2025
FI-SANFORD REHAB, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 03/01/2003
KANE FINANCIAL SERVICES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/21/2025
BARR, DYLANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/29/2022
MALDONADO, KIMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/20/2022
SELECT REHABILITATION, LLCOrganizationADP OF THE SNFsince 08/19/2016

CMS files one row per role, so the 18 rows in the source record cover these 12 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.

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

Follow the money — this home’s finances

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

$11.2M
Net patient revenuemost recent cost report
-3.4%
Operating marginrevenue minus expenses
$151K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 78%Medicare 8%Other / private 14%

About 78% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $151K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

$326per resident / day
operating cost
$9,921per month
≈ monthly operating cost
$316per day
avg. revenue, all payers

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

What families pay in FL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105539. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-30, 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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