Harborview Sarasota
4783 Fruitville Road, Sarasota, FL 34232 · For profit - Limited Liability company · 81 certified beds · (941) 378-8000 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- it has an abuse, neglect, or exploitation citation (F0600), cited May 2025
- it has 1 actual-harm citation
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $43,839 in federal fines (most recent 2025-05-08)
- its independent health-inspection rating is low (2/5)
- nursing-staff turnover (67%) runs well above the national median (45%)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 12.0% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 1.6% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.3% | 0.7% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 0.5% | 4.6% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.9% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 27.3% | 9.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 14.7% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.6% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 23.3% | 10.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.8% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.6% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 93.1% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 34.4% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 20.0% | 9.1% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 3.64 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.87 | 1.15 | 1.80 | worse |
‡ 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.
49.0% 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 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 51.4% 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 37 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 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 49.0%CMS range 34.0–67.5 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.4%CMS range 6.9–15.0 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 51.4% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 51.4% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 43.2% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 88.6% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 85.4% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 1.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.8%CMS range 3.3–14.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.83 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 81 beds and averages 76.7 residents a day — about 95% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 3.26 hrs/resident/day on weekends vs 3.73 on weekdays — 13% thinner on weekends. RN hours go from 0.75 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 67% is well above 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
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.
- Actual harm · G2025-05-08 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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 review of the clinical record, review of policy and procedures and resident and staff interviews, the facility failed to protect vulnerable residents' rights to be free from abuse by failing to ensure residents were protected from mental and verbal abuse for 4 (Residents #699, # 700, #800 and #850) of 4 residents reviewed for allegations of abuse. The findings included: The facility policy Abuse, Neglect and Exploitation implemented 3/1/22 (revised 3/1/23) documented, It is the policy of this facility to provide protection for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. Abuse means the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish, which can include staff to resident abuse. Instances of abuse of all residents irrespective of any mental or physical…
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.
- Potential for harm · Ecited before2026-04-02 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy, resident and staff interview, and record review, the facility failed to provide the necessary assistance as outlined in the resident's care plan and according to residents' preferences for 4 (Residents #1, # 2, #55 and #90) of 7 residents reviewed for activities of daily living (ADL's).The findings included:The facility policy Activities of Daily Living implemented 3/1/22 (revised 3/1/25) specified, The facility will, based on a residence comprehensive assessment and consistent with the resident's needs and choices, ensure a residence abilities in ADL's do not deteriorate unless deterioration is unavoidable. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. The facility will maintain individual objectives of the care plan and periodic review and evaluation. 1. On 3/30/26 at 1:27 p.m., Resident #1 was observed in his room in bed. In an interview,…
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.
- Potential for harm · E2026-04-02 · tag F0726 — failed to have competent, trained nursing staff — patternEnsure 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
Based on interview, record review and facility policy the facility failed to ensure that 5 (Licensed Practical Nurses Staff H, Staff N, Staff O, Staff P, and Staff Q) of 5 Licensed Practical Nurses reviewed had appropriate skill sets, and certifications to administer intravenous antibiotic therapy (IV) for 2 (Residents #73 and #66) of 3 residents reviewed for IV Therapy.The findings included:Review of facility policy Intravenous Therapy date implemented 3/1/22, date reviewed/revised 3/1/25 documented: The facility will adhere to accepted standards of practice regarding infusion practices in accordance with state regulations. Definitions: Intravenous (IV) Therapy is the administration of parenteral fluids or medications through an IV catheter to treat a condition. Compliance Guidelines: (14) The Registered Nurse or certified Licensed Practical Nurse (LPN) will evaluate the associated risks due to IV fluid administration (15) IV documentation is recorded in the nurses' notes and/or Medication Administration Record. Continuous Infusion, IV push and intermittent medication infusion…
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.
- Potential for harm · E2026-04-02 · tag F0760 — failed to prevent significant medication errors — patternEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, review of facility's policy and procedure and staff interviews, the facility failed to have documentation that 2 (Residents #73 and #66) of 3 residents reviewed, received intravenous antibiotics as ordered. Missed dosages of antibiotics could jeopardize the residents' health and safety. The findings included:A review of the Facility's Policy Medication Administration with a date implemented of 3/1/22, documented, Medications are administered by licensed nurses or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice . 12b. Administer within 60 minutes prior to or after scheduled time unless otherwise ordered by physician. Sign MAR (Medication Administration Record) after administered. 22. Report and document any adverse side effects or refusals. 23. Correct any discrepancies and report to nurse manager.Review of the clinical record for Resident #73 revealed an admission date of 2/27/26. Diagnoses included chronic osteomyelitis right foot and ankle (infection 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.
- Potential for harm · E2026-04-02 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to offer and/or administer the flu and/or pneumonia vaccine for 5 (Residents #8, #2, #92, #49, and #66 ) of 5 residents reviewed for vaccinations. The findings included:Review of the facility's policy and procedure titled Infection Prevention and Control Program, with a revision date of 2/1/25 indicated: 7. Influenza and Pneumococcal Immunization a. Residents will be offered the influenza vaccine each year between October 1 and March 31, unless contraindicated or received the vaccine elsewhere. B. Residents will be offered the pneumococcal vaccines recommended by the Center for Disease Control (CDC), upon admission, unless contraindicated or received the vaccines elsewhere.On 3/31/26 review of Resident #8's clinical record revealed that the legal representative consented to the pneumococcal vaccine on 10/3/25. The clinical record lacked documentation that the vaccine was administered. There was no documentation of contraindication for the vaccine.On 3/31/26 review of Resident #2's clinical record revealed a consent form for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-04-02 · tag F0887 — patternEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure that 5 (Residents #8, #2, #92, #49, and #66 ) of 5 residents reviewed for vaccinations were offered and administered the COVID-19 vaccine unless the immunization was medically contraindicated.The findings included:On 3/31/26 clinical record review for Resident #8 revealed the resident's legal representative consented to the COVID-19 vaccine on 10/3/25. The clinical record lacked documentation that the vaccine was administered or that the vaccine was contraindicated.On 3/31/26, review of the clinical record review for Resident #2 revealed a COVID-19 consent form dated 10/3/25. The area to document whether the resident wanted to receive or declined the COVID-19 vaccine was left blank. The clinical record lacked documentation that the resident accepted or declined the vaccine or that the vaccine was contraindicated.On 3/31/26, clinical record review for Resident #92 revealed a COVID-19 consent form dated 10/3/25. The area to document whether the resident wanted to receive or declined the COVID-19 vaccine was left…
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.
- Potential for harm · E2026-04-02 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake 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, review of facility policy and staff interviews, the facility failed to ensure a safe, clean, sanitary and homelike environment that emphasizes and enhances resident comfort for the residents in the 100, 200, and 400 halls.The findings included: Review of the facility policy Resident Personal Belongings implemented 3/1/22 (revised 1/1/26) documented It is the policy of this facility to protect the residents right to possess personal belongings, such as clothing and furnishings, for their use while in the facility. All resident possessions, regardless of their apparent value to others will be treated with respect. The facility will support the residents' right to retain and use personal possessions to promote a home-like environment and maintain their independence. The facility will ensure resident belongings are kept in a neat and orderly fashion and maintained in each residents room. On 3/30/26 at 10:00 a.m., during an initial tour of the 100 hall the following observations were noted: 1.…
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.
- Potential for harm · Ecited before2025-12-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, review of facility's policies and procedures and staff interviews, the facility failed to have documentation of fall investigations and failed to implement care planned interventions to reduce the risk of avoidable accidents for 1 (Resident #999) of 3 residents reviewed with multiple falls at the facility.The findings included: Review of the facility policy Fall Prevention Program implemented 3/1/22 (revised 1/1/25) revealed, Each resident will be assessed for fall risk and will receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls.High Risk Protocols:a. The resident may be placed on the facility's Fall Prevention Program.i. Indicate fall risk on care plan.Implement appropriate interventions.c. Provide interventions that address unique risk factors measured by the risk assessment tool.d. Provide additional interventions as directed by the resident's assessment, may include but not limited to:i. Assistive devices.ii. Increased frequency of rounds.iv. Low bed.8. Interventions will be…
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.
- Potential for harm · E2025-12-09 · tag F0925 — failed to control pests — patternMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review and interviews, the facility failed to maintain an effective pest control program to contain and eradicate common household pests.The findings included:Review of the facilities Pest Control Program policy (last revised on 3/1/2022) stated, it is the policy of this facility to maintain an effective pest control program that eradicated and contains common household pests and rodents. The policy further states effective pest control program is defined as measures to eradicate and contain common household pests (e.g., bed bugs, lice, roaches, ants, mosquitos, flies, mice and rats).Review of the facilities Resident Environmental Quality policy (last revised on 3/1/2025) states the facility shall maintain an effective pest control program so the facility is free from pests and rodents.On 12/8/25 at 9:04 a.m., in an interview Resident #2 said she has a problem with bugs. She said there were little cockroaches in the bathroom. She has let everyone know but they were still there. She said there are times she won't take a shower because of the cockroaches.…
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.
- Potential for harm · Dcited before2025-12-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, review of the clinical record, review of facility policy and procedure, and resident, family and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 1(Resident #999) of 3 residents reviewed for activities of daily living.The findings included:Review of the facility policy Activities of Daily Living (ADLs) implemented 3/1/22 (revised 6/1/25) documented, A resident who is unable to carry out activities of daily living will receive the necessary services to maintain grooming, and personal and oral hygiene.Review of the clinical record revealed Resident #999 had an admission date of 1/25/23 with a re-admission date of 8/22/25. Diagnoses included displaced intertrochanteric fracture of right femur on 8/22/25, type 2 diabetes mellitus, dementia, anxiety, and fracture of right femur 2/8/23.Review of the End of Part A stay Minimum Data Set (MDS) (standardized assessment tool that measures health status in nursing home residents) with an assessment reference date of 10/24/25 documented Resident #999 required…
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.
- Potential for harm · D2025-05-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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 review of policies and procedures, clinical record review, and staff interview, the facility failed to provide the necessary interventions to prevent the development of avoidable pressure ulcers for 1(Resident #799) of 3 residents identified as at risk for developing pressure ulcers. The findings included: The facility policy Pressure Injury Prevention and Management initiated 3/1/22 (revised 3/1/23) documented, this facility is committed to the prevention of avoidable pressure injuries unless clinically unavoidable and to provide treatment and services to heal the pressure injury, prevent infection and the development of additional pressure injuries. Pressure ulcer injury refers to localized damage to the skin and or underlying soft tissue usually over a Bony prominence or related to a medical or other device. The facility shall establish and utilize a systematic approach for pressure injury prevention and management including prompt assessment and treatment intervening to stabilize reduce or remove…
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.
Show the remaining 11 citations
- Potential for harm · D2024-02-15 · tag F0578 — failed to honor advance directives / code status — isolatedHonor 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, review of the facility's policies and procedures, staff and resident interview the facility failed to implement their policies and procedures and demonstrate ongoing coordination to promote residents' rights and ensure 1 (Resident #45) of 25 residents reviewed for Advanced Directives accurately reflected their expressed wishes. The findings included: The facility policy Advanced Directives Policy (revised [DATE]) documented Each resident has the right to be informed and provided written information to all concerning the right to accept, refuse or discontinue medical treatment, to participate in or refuse to participate in experimental research and the right to formulate and advanced directive. The facility will provide a written description of the facilities policy to implement advanced and applicable state law, evaluate and document each residents advance care planning decision. The facility will evaluate the residents desired code status decision and ensure they are honored. 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.
- Potential for harm · D2024-02-15 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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, record review, staff, and resident interviews the facility failed to identify and promptly notify the physician of a rapid significant weight gain for 1 (Resident #67) of 1 with a diagnosis of congestive heart failure and observed with swelling of the abdomen, legs, and feet. The findings included: Review of a facility policy titled, Weight Management dated 5/22/23 noted, It is the policy of the facility to provide care and services related to weight management in accordance to state and federal regulations . Dietary will evaluate all weights by the seventh of each month. A re-weight will be obtained for any weight change of +/- (plus or minus) (3) lbs. from the previous weight unless other parameters have been ordered by the physician .The physician and the resident or resident representative will be notified by the resident's nurse of any significant unexpected and or unplanned weight changes. The nurse will document the notification in the resident electronic medical record by completing…
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.
- Potential for harm · D2024-02-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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, review of facility's policies and procedures, resident and staff interviews, the facility failed to maintain respiratory care equipment in accordance with manufacturer's specification for 1 (Resident #59) of 16 residents reviewed with oxygen therapy. The findings included: Review of the facility's policy titled, Physical Environment-Safe Environment dated 10/1/2023 showed documentation, The facility will maintain all essential mechanical electrical and patient care equipment in safe operating condition. Review of the clinical record revealed Resident #59 was admitted to the facility on [DATE]. On 2/12/24 at 10:00 a.m., Resident #59 was observed receiving oxygen through a nasal cannula attached to an oxygen concentrator (medical device that gives extra oxygen). In an interview, Resident #59 said she has not seen anyone changing the concentrator's filter. On 2/13/24 at 4:09 p.m., in an interview the Director of Nursing (DON) said the maintenance department was responsible for the maintenance…
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.
- Potential for harm · Dcited before2024-02-15 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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
Based on observation, review of facility's policy and procedure, and staff interview the facility failed to safely store medications to prevent unauthorized access. The findings included: A Review of a facility policy titled, Storage of Medications (no dated) specified, Policy - Drugs and biologicals should be stored in a safe, secure, and orderly manner. Policy Interpretation and Implementation 6. drugs and biologicals are locked when not in use and items are not left unattended. 7. Drugs are stored in an orderly manner in cabinets, drawers, or carts. On 2/13/23 at 8:15 a.m., a large package was observed on a credenza in the front lobby of the facility approximately five feet from the door. The package was labeled, Pharmacy Returns. The package was next to the outgoing mailbox located approximately 10-15 feet from the front desk where the receptionist sat. On 2/13/24 at 8:17 a.m., Receptionist Staff J did not answer when asked about the content, and who was watching the bag labeled, Pharmacy returns. On 2/13/24 at 8:18 a.m., in an interview the Administrator stated the medications…
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.
- Potential for harm · D2024-02-15 · tag F0745 — failed to provide medically-related social services — isolatedProvide medically-related social services to help each resident achieve the highest possible quality of life.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and resident interview, the facility interview and record review the facility failed to implement policies and procedure and assist 1 (Resident #130) of three sampled residents with transportation arrangement to scheduled medical practitioner's appointments. The findings included: Review of the clinical record revealed Resident #130 was admitted to the facility on [DATE]. Diagnoses included pubic (one of the three bones that make up the pelvis) fracture. On 2/13/24 at 4:11 p.m., in a telephone interview Resident #130 said during his stay at the facility, his scheduled follow up Orthopedic Surgeon appointment had to be rescheduled twice since the facility had problems with their transportation bus. The resident said he offered to get his own transportation but staff told him he could not arrange his own transportation. On 2/14/24 at 12:51 p.m., in an interview the Social Service Director said he contacted the Orthopedic surgeon and verified Resident #130 missed the scheduled 8/9/23…
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.
- Potential for harm · Ecited before2022-06-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff and resident interviews and record review the facility failed to ensure they stored smoking materials and obtained a signed agreement, from each resident, attesting they will abide by the facility smoking policies and procedures for 4 Residents (#18, #53, #39 and #47) of 4 residents reviewed who smoke at the facility. The findings included: On 6/06/22 at 10:30 a.m., during an interview with Resident #18, in her room, a cigarette pack was observed in her purse. Resident #18 said she smokes several times a day and the facility let her always keep her cigarettes and lighter with her. On 6/06/22 at 2:23 p.m., the Activity Director was observed monitoring Resident #18 and 3 other residents smoking in the designated smoking area. The Activity Director said, the residents who smoke would get their cigarettes and lighter from the nursing station and when the resident(s) were done smoking, they are required to return their cigarettes and lighter back to the nursing station. On 6/06/22 at 3:13 p.m., during an interview with Resident #18, she was observed to 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.
- Potential for harm · E2022-06-09 · tag F0730 — patternObserve each nurse aide's job performance and give regular training.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews and staff record reviews, the facility failed to ensure 4 (Staff E, H, I, and J) of 4 Certified Nursing Assistant (CNA)'s employee records reviewed had a performance review completed at least once every 12 months. The facility failed to ensure staff had in-service education based on the outcome of their performance reviews by not having annual competency evaluations. The findings included: On 6/08/22, a review of Employee Guidebook revealed on page 25, section Performance Evaluation, it stated employee performance is reviewed on a continuous and ongoing basis, periodically and employees will receive a formal written appraisal from their supervisor. The performance evaluation provides an opportunity to discuss the employee's past performance as well as future goals. All performance evaluations become a permanent part of their employee record. The performance evaluation should be completed 90 days after hire and annually on the employee anniversary date of hire per facility policy. On 6/08/22, a review of Certified Nursing Assistant (CNA) Staff E's employee…
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.
- Potential for harm · E2022-06-09 · tag F0849 — patternArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — the official record, unedited, may be distressing
Based on review of the facility records and staff interviews the facility failed to provide documentation of an updated, written agreement for the provision of hospice services to reflect current ownership for 3 (Resident #16, #46, and #60) of 3 residents reviewed for hospice services. The findings included: On 6/6/22, upon request of the facility agreement with the hospice provider, the Administrator provided a hospice agreement signed 4/1/14 between the hospice and the previous owner of the facility. On 6/8/22 at 12:02 p.m., in an interview the Director of Nursing (DON) confirmed the facility had changed ownership. The DON confirmed the current hospice agreement provided by the facility was not valid with the new corporation and the facility needed to obtain a new contract. On 6/8/22 at 3:30 p.m., the DON confirmed the facility currently had 3 residents receiving hospice services.
- Potential for harm · E2022-06-09 · tag F0943 — patternGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and record review, the facility failed to ensure 5 (Staff L, M, N, O and P) of 10 staff reviewed had the required education and training in abuse, neglect, and exploitation. Failure to provide staff with abuse, neglect, and exploitation training prior to working with facility residents could lead to staff not knowing how to prevent and report abuse, neglect, and exploitation. The findings included: On 6/8/22, review of Physical Therapy Assistant (PTA) Staff L's employee record revealed her start date was 1/7/20. Review of her employee training records revealed she did not receive education or training in abuse, neglect, and exploitation prior to working with the facility residents. On 6/8/22, review of Register Nurse (RN) Staff M's employee record revealed her start date was 2/22/22. Review of her employee training records revealed she did not receive education or training in abuse, neglect, and exploitation prior to working with the facility residents. On 6/8/22, review of Certified Nursing Assistant (CNA) Staff N's employee record revealed her start date…
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.
- Potential for harm · D2022-06-09 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, review of the clinical records, review of facility policies and procedures, and staff interviews, the facility failed to implement meaningful resident centered activities to meet the interest and wellbeing of one (Resident #15) of one resident reviewed for activities. The lack of an individualized activity program has the potential to cause social isolation, boredom, agitation, and frustration. The findings included: The facility policy Activities Programs, (revised 2/2012) documented, To encourage self-care, resumption of normal activities and maintenance of an optimal level of psychosocial functioning, this facility provides for an activities program. These programs take into consideration the needs and former interests of the resident and are designed to promote opportunities for engaging in normal pursuits, including religious activities of their choice, if any .The activities are designed to promote the physical, social and mental well-being of the residents. Review of Resident #15's clinical record showed a readmission date of 2/8/22. Resident #15's…
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.
- Potential for harm · Dcited before2022-06-09 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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
Based on observations, facility policy review, and staff interviews, the facility failed to secure medication by leaving two loose pills on top of an unlocked, unattended medication cart and secure a computer screen from view on the 400-hallway for 1 of 2 medication carts observed. The findings included: Review of medication storage Section 5: Delivery, Receipt, Storage, and inventory of medications/product reads With the exception of Emergency Drug Kits, all medications will be stored in a locked cabinet, cart or medication room that is accessible only to authorized personnel, as defined by facility policy. On 6/6/22 at 04:23 p.m., Medication cart # 400 hall was observed unlocked and unattended. A medication cup with two loose pills, typed written report sheet with resident' name, diagnosis and other personal information and nurse personal item, an opened water bottle were observed on the cart. (photographic evidence obtained). On 6/6/22 at 4:28 p.m., Licensed Practical Nurse (LPN), Staff A came back to her cart and said, Oops I am sorry. LPN Unit Supervisor, Staff B, was asked…
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.
“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.
- 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.
Fines & penalties
$43,839 in federal fines across 1 penalty.
- $43,839 — penalty dated 2025-05-08
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to HARBORVIEW HEALTH SYSTEMS — 22 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 1.9 | +0.1 vs chain |
| Health inspection | 2 of 5 | 2.1 | -0.1 vs chain |
| Staffing | 3 of 5 | 2.4 | +0.6 vs chain |
| Quality measures | 3 of 5 | 2.3 | +0.7 vs chain |
The other 21 homes this chain runs (chain average 1.9★, 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| HARBORVIEW SARASOTA HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 07/15/2024 |
| BOYER, ELAINE | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/15/2024 |
| WALSH, JOSEPH | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/15/2024 |
| LEIBOWITZ, CHAIM | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/15/2024 |
| DAHAN, MICHELLE | Individual | TRUSTEE OF THE SNF | — | since 07/15/2024 |
| ENGLANDER, SHMUEL | Individual | TRUSTEE OF THE SNF | — | since 07/15/2024 |
| KLEIN, JOSEPH | Individual | TRUSTEE OF THE SNF | — | since 07/15/2024 |
| LEIBOWITZ, ELIYAHU | Individual | TRUSTEE OF THE SNF | — | since 07/15/2024 |
| SOKOLOFF, RIVKA | Individual | TRUSTEE OF THE SNF | — | since 07/15/2024 |
CMS files one row per role, so the 15 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 82% 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
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.
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 105983. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-02, 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.