Life Care Center Of Sarasota
8104 Tuttle Ave, Sarasota, FL 34243 · For profit - Individual · 120 certified beds · (941) 360-6411 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $18,780 in federal fines (most recent 2025-09-18)
- its facility-reported quality-measure score sits well above its independent inspection score
- about 22% of its spending goes to commonly-owned related companies
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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
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 | 5 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 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 | 11.4% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.4% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.3% | 0.3% | 0.9% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 6.9% | 4.6% | 6.5% | typical |
| 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 | 4.2% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 19.1% | 9.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 16.3% | 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 | 2.4% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 11.1% | 10.5% | 21.2% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 3.9% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.2% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 97.0% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.4% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.7% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.36 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.17 | 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.
63.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 379 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 92.6% 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 162 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 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 11% 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 | 63.2%CMS range 58.0–67.8 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.8%CMS range 8.5–13.6 | 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 | 92.6% | 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 | 85.8% | 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 | 82.1% | 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 | 100.0% | 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 | 99.3% | 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 | 99.1% | 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 | 1.4% | 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 | 0.7% | 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 | 8.2%CMS range 5.2–10.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.92 | 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 120 beds and averages 106.5 residents a day — about 89% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.29 hrs/resident/day on weekends vs 3.93 on weekdays — 16% thinner on weekends. RN hours go from 0.71 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · Ecited before2025-09-18 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to provide adequate supervision to prevent a fall resulting in major injury and hospitalization for one resident (#11) of two residents reviewed.Findings Included:Review of Resident #11's medical record revealed the resident was admitted to the facility on [DATE] and was readmitted on [DATE] with a primary diagnosis of displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing. Other diagnoses included encounter for other orthopedic aftercare, muscle weakness, need for assistance with personal care, end stage renal disease, history of falling, and repeated falls.Review of a hospital history and physical for Resident #11 dated 09/09/2025 showed .the patient presented from nursing facility after having an outpatient X-ray that showed a femoral neck fracture. It was reported the patient had a fall on Saturday and had evaluation outpatient. Patient was complaining of hip pain while at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-18 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to provide one resident (#100) of thirty-nine sampled residents with a bed that met his height needs and comfort during three days (9/8/2025, 9/9/2025 and 9/10/2025) of four days observed. Findings included: On 9/8/2025 at 10:45 a.m. and 1:00 p.m. Resident #100 was visited while in his room. Both times observed, he was noted lying flat in bed with his head on a pillow. Further observations revealed Resident #100 was utilizing a mechanical air loss mattress system with bolsters on each side of the bed. The residents both feet were either pressed up against the end of the foot board or positioned on top of the foot board. Photographic evidence was taken with permission from Resident #100's wife, who was his decision maker.On 9/9/2025 at 8:30 a.m. and at 9:40 a.m., Resident #100's feet were observed propped up and pressed up against the end of the foot board. It appeared Resident #100 was tall in stature and not fitting comfortably in the bed.…
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 · D2025-09-18 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and policy review, the facility failed to report an injury of unknown origin for one resident (#11) of two residents sampled.Findings Included: On 09/09/2025 at 03:05 p.m. an interview was conducted with Staff M Licensed Practical Nurse (LPN) and Unit Manager (UM), of the Manatee unit. Staff M stated Resident #11 experienced a fall on 09/06/2025. Staff M stated the fall was not observed by staff. Staff M stated resident #11 went to the hospital on [DATE] after the resident complained of pain and an x-ray showed the resident had a hip fracture.On 09/10/2025 at 04:18 p.m. an interview was conducted with Staff R, Certified Nursing Assistant (CNA). Staff R explained seeing Resident #11 on the floor on the right side of the resident's bed and laying on their right side. Staff R stated Resident #11 was not seen falling to the floor. Staff R stated Resident #11 complained of pain while receiving a bed bath.On 09/10/2025 at 04:39 p.m.an interview was conducted with Staff S, Licensed…
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 · D2025-09-18 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observations, interviews and record review, the facility failed to implement care plan interventions related to the use of orthotics for one resident (#100) of two residents reviewed during three days (9/8/2025, 9/9/2025, and 9/10/2025) of four days observed. Findings included: During multiple tours conducted on 9/8/2025 between 10:45 a.m. and 2:45 p.m., and on 9/10/2025 at 7:30 a.m. and at 9:50 a.m., Resident #100 was observed in his room lying in bed with no Right-hand splint/brace/hand carrot on and no heel protector boots on either of his feet. On 9/9/2025 at 9:40 a.m. an interview with Resident #100's family member who revealed they visited the resident daily. The family member Resident #100 was six feet four inches and that he lies in bed all day, by choice and his feet are always scrunched up against or positioned on top of the foot board. The family member revealed the resident had wounds on his heels and are being treated but did not think having his feet pressed up against or placed on top of…
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 · D2025-09-18 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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 observations, interviews and record review, the facility failed to to ensure care was provided in accordance with professional standards related to the use of orthotics for one resident (#100) of two residents reviewed during three days (9/8/2025, 9/9/2025, and 9/10/2025) of four days observed.Findings included: During multiple tours conducted on 9/8/2025 between 10:45 a.m. and 2:45 p.m., and on 9/10/2025 at 7:30 a.m. and at 9:50 a.m., Resident #100 was observed in his room lying in bed with no Right-hand splint/brace/hand carrot on and no heel protector boots on either of his feet. On 9/9/2025 at 9:40 a.m. an interview with Resident #100's family member who revealed they visited the resident daily. The family member Resident #100 was six feet four inches and that he lies in bed all day, by choice and his feet are always scrunched up against or positioned on top of the foot board. The family member revealed the resident had wounds on his heels and are being treated but did not think having his feet…
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 · D2025-09-18 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to ensure the medication error rate was less than 5%. Thirty medication opportunities were observed, and four errors were identified for our residents (#39, #41, #71 and #88) out of eight residents resulting in an error rate of 13.33%. Findings included: On 9/9/25 at 8:32 a.m., Staff D, Registered Nurse (RN) was observed administering medication to Resident #39. Staff D, RN administered the following medications: Xanax 0.5mg (milligrams), Lexapro 20mg, losartan potassium 50mg, tamsulosin 0.4 mg and Lantus SoloStar pen injector. Staff D, RN dialed the dosage selector to 20 units on the Lantus SoloStar pen injector, cleaned the needle injector port with alcohol and inserted the needle into the injector port. Staff D, RN entered Resident #39's room prepared the injection site and administered the medication. When asked about priming the insulin injector pen Staff D, RN said, I don't do that.Review of Resident #39's admission record showed…
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 · D2025-09-18 · tag F0867 — failed to act on quality-improvement findings — isolatedSet 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 observations, interviews, record reviews, and the Plan of Correction (POC) review, the facility's Quality Assurance Performance Improvement Program (QAPI) failed to implement an effective plan of correction to correct deficient practice identified during the recertification survey originally conducted 9/11/2025 to 9/18/2025 as evidenced by: 1) to ensure two of six sampled residents (#2 and #10) had updated care plan interventions in place related to falls and 2) failed to: 1) prevent a fall with major injury for two Residents (#1 and #2) and, 2) prevent multiple falls for one Resident (#10) out of four residents sampled for injuries and accidents. Cross reference F656 and F689 Findings included:1)Review of the facility's plan of correction for the survey ending on 9/18/2025 with a completion date of 10/18/2025 revealed the following measure would be taken to correct the deficient practice which was identified at F656:(4) How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place;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 · Dcited before2025-05-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide adequate supervision to prevent one resident (#1) from exposure to the sun/heat, resulting in an altered mental status and skin damage to the legs, arms, and head, out of three residents sampled for outdoor activities. On 5/2/2025 Resident #1 was seated in a wheelchair in the courtyard area of the facility for approximately one hour from 2:45 p.m. to 3:45 p.m., during the hottest part of the day. Resident #1 was discovered to be unresponsive and had to be transferred to a higher level of care for treatment from sun/heat exposure. Findings included: Resident #1 was admitted to the facility in November 2024 with diagnoses including; Chronic Obstructive Pulmonary Disease (COPD), Type 2 Diabetes Mellitus with neuropathy and chronic kidney disease, heart failure, muscle weakness, difficulty walking, cognitive communication deficit, dementia, cardiac pacemaker, and need for assistance with personal care. A review of the quarterly…
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 · E2023-04-13 · tag F0645 — patternPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and review of the facility's policy, the facility failed to 1.) ensure the accuracy of a Preadmission Screening and Resident Review (PASARR) Level I for three (Residents #97, #43 and #13) of five residents admitted with mental health diagnoses and sampled for PASARR; and 2.) complete a PASARR Level II within 30 days for one (Resident #20) admitted to the facility under a 'hospital discharge exemption' of five residents sampled for PASARR. Findings include: 1. Review of the clinical record revealed Resident #97 was admitted to the facility on [DATE], and a primary diagnosis of Unspecified Dementia. Review of the admission Minimum Data Set (MDS) dated [DATE], for Resident #97 revealed under Section I, diagnoses that included Non-Alzheimer's Dementia, Anxiety and Psychotic Disorder; and under Section N, antipsychotic and antidepressant medications were received during seven of the past seven days. Review of a PASARR Level I dated 11/28/2022, revealed Section 1A with Depressive…
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 · D2023-04-13 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 record review, interview, and review of the facility's policy, the facility failed to complete the Preadmission Screening and Resident Review (PASARR) Level I upon a new qualifying mental health diagnosis for one (Resident #3) of five residents sampled for PASARRs . Findings included: Review of the electronic medical record (EMR) revealed Resident #3 was initially admitted to the facility on [DATE]. An admission Minimum Data Set (MDS) dated [DATE] showed Resident #3 did not have psychiatric or mood disorder diagnosis indicated. Review of a quarterly MDS dated [DATE] Section I, showed the resident had current diagnosis of Depression. Review of an admission record for Resident #3 dated 04/13/23, showed a diagnosis of depression, unspecified with an onset date of 12/23/22. Review of a physician order summary report for Resident #3 dated 04/13/23, showed Resident #3 was receiving Fluoxetine HCI (hydrochloride), give one tablet by mouth one time a day for depression. Review of Resident #3's PASSAR Level I…
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 9 citations
- Potential for harm · D2023-04-13 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, medical record review, and policy on Indwelling Urinary Catheter Management, the facility failed to ensure one (Resident #52) of three residents sampled for indwelling urinary catheters was provided timely treatment and care in accordance with professional standards of practice. Findings Included: On 04/11/2023 at 11:01 a.m., an interview was conducted with Resident #52. She said her catheter was for urinary retention. She said she was a nurse for many years and knew about retention. She said she was not able to void, and nothing was coming out. She said she could feel distention in her bladder so she went to the hospital. Resident #52 stated, they straight cathed me and removed 4000 cubic centimeter (cc) of urine. They had performed tests at the hospital and found I had a cord compression to my spine. The compression was causing retention to my bladder. I had the surgery performed and went home with the catheter. She said after being at home, she recalled being dizzy when standing and fell. She said, I broke my hip and here for rehabilitation.…
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 · D2023-04-13 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure pre and post dialysis care was provided for one (Resident #68) of four dialysis residents. Findings included: Review of the admission record dated 04/13/23, showed Resident #68 was admitted to the facility on [DATE] with diagnoses to include acute kidney failure and severe chronic kidney disease, stage 4, and dependence on renal dialysis. Review of active physician orders for Resident #68 showed: Dialysis patient receives dialysis at [name of facility] on Tuesday, Thursday, and Saturday at 10:30 a.m., start date 01/19/23. Check right chest dialysis port for bleeding or signs and symptoms of infection, every shift, start date 12/27/22. Liberal renal diet, Regular texture, thin consistency, start date 12/24/22. Medication orders around dialysis, at least 2 hours prior to or after return, start date 12/24/22. Review of a care plan with a revision date of 12/27/22 showed a focus on Dialysis- hemodialysis related to end stage renal disease. The goal…
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 before2023-04-13 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to provide rationale for long term use or limit the use of as needed antianxiety medications to less than 14 days for two (Residents #29 and #91) of five residents surveyed for unnecessary medications. Findings include: 1. Resident #29 was originally admitted to the facility on [DATE]. While conducting a record review, an order was identified for Ativan 0.5 milligrams (mg) by mouth every 4 hours as needed for anxiety/agitation/shortness of breath. The order was written on 3/16/23 and did not have an expiration date or rationale for long term use. Further record review revealed on 3/22/23, a Medication Regimen Review was conducted by the Consultant Pharmacist with the following documentation: Recommendation: Please discontinue as needed Ativan, tapering as necessary. If the medication cannot be discontinued at this time, please document the indication for use, the extended duration of therapy, and the rationale for the extended time period. Rationale 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 · D2021-06-17 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 observations, interviews and records review, the facility did not ensure dignity was maintained related to catheter care for 1 out of 8 residents with an indwelling catheter, (Resident #32). Findings include: During multiple facility tours on 06/14/21, 06/15/21 and 06/16/21, Resident # 32 was observed in his room, lying in bed, the catheter was visible from the hallway. The resident's catheter did not have a cover and his output was visible to those walking in the hallway. Resident #32 was noted to keep his room door wide open throughout the survey. Resident #32 was admitted to the facility on [DATE] with a diagnosis of pneumonia due to COVID, hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side, muscle weakness generalized, neuromuscular dysfunction of bladder, hypertensive chronic kidney disease, colostomy status and artificial opening of urinary tract status. Resident #32 is his own responsible party. An admission Minimum Data Set (MDS) dated [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 · D2021-06-17 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 record review, and staff interviews the facility failed to provide two (#41, #86) of five residents sampled, or their representatives, with a written copy of the notice of transfer when they were transferred to an acute care facility. Findings included: 1) Resident # 41 was admitted to the facility on [DATE] with the principal diagnosis of cerebral palsy, other pertinent diagnoses included hemiplegia, deaf and non-speaking, Barrett's esophagus, dysphagia and gastrostomy status. Resident # 41's comprehensive Minimum Data Set (MDS) dated [DATE] reflected that Resident #41's brief interview for mental status (BIMS) could not be completed, the document also reflected that he had a feeding tube, and was non-verbal. A review of the nurse progress notes revealed an event dated 03/28/21. Shortly before midnight on 03/27/21, it was discovered that Resident # 41 had produced coffee grounds emesis. The record revealed an order from the Physician Assistant to transfer Resident # 41 to an acute care facility 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 · D2021-06-17 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff interviews the facility failed to provide one (#41) of five residents sampled, or their representatives, with a bed hold notice when they were transferred to an acute care facility. Findings included: Resident # 41 was admitted to the facility on [DATE] with the principal diagnosis of cerebral palsy, other pertinent diagnoses included hemiplegia, deaf and non-speaking, Barrett's esophagus, dysphagia and gastrostomy status. Resident # 41's comprehensive Minimum Data Set (MDS) dated [DATE] reflected that Resident #41's brief interview for mental status (BIMS) could not be completed, the document also reflected that he had a feeding tube, and was non-verbal. A review of the nurse progress notes revealed an event dated 03/28/21. Shortly before midnight on 03/27/21, it was discovered that Resident #41 had produced coffee grounds emesis. The record revealed an order from the Physician Assistant to transfer Resident # 41 to an acute care facility for evaluation. The nurse progress note…
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 · D2021-06-17 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to ensure that nail care was provided for one (#41) of 28 residents sampled as evidenced by the observations of the long fingernails on Resident #41's left hand and documentation from the record and interviews related to the condition of Resident #41's fingernails and toenails. Findings included: Observations of Resident #41 fingernails were done during a facility tour conducted on the University hallway on 06/14/21 at 9:28 a.m. they revealed a right hand with nails trimmed and the left hand with long thin nails with rough edges. Subsequent observations of Resident #41 fingernails on 06/14/21 at 12:30 p.m., and on 06/15/21 at 09:06 a.m. and 1:15 p.m. revealed the same findings; the fingernails of the right hand were trimmed, and the fingernails of the left hand were long thin and with rough edges. Resident #41 was admitted to the facility on [DATE], with diagnoses to include: cerebral palsy, hemiplegia, deaf and non-speaking, left elbow…
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 · D2021-06-17 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that a mechanically altered therapeutic diet was provided according to orders for one (Resident #97) out of eight sampled residents. Findings included: An observation was made on 06/16/21 at 9:43 a.m. in Resident #97's room. There were signs printed with large print and taped on his closet door that read: Please wait after each bite for the patient to finish swallowing before you give him another bite. Feed the patient small bites and small sips. Staff J, Certified Nursing Assistant (CNA) was interviewed following this observation. She confirmed she was Resident #97's CNA and said he needed to be fed. Staff K, Registered Nurse (RN) was interviewed. She confirmed she was his RN and said the resident was very confused, was dependent for mobility and care, and had to be fed. She said that his wife usually visited and fed him lunch. Photographic evidence obtained. On 06/16/21 at 12:53 p.m. Resident #97 was observed in bed. His wife…
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 before2021-06-17 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 that orders and implementation for behavior monitoring were in place for psychotropic medications for one (Resident #10) out of five sampled residents. Findings included: Multiple observations were made of Resident #10 between the hours of 8 a.m. and 5 p.m. from 06/14/21 to 06/17/21. The Resident was always observed in bed, was awake and alert, engaged freely, and was confused. During an observation on 06/16/21 at 9:45 a.m., there was a person seated at the bedside who identified herself as a sitter hired through an agency. She said she was hired to sit with him during the day from 9:00 a.m. to 2:00 p.m. Staff K, Registered Nurse (RN) confirmed that the sitter was hired by the resident's family. Staff K was interviewed again on 06/16/21 at 2:48 p.m. She was seated at her medication cart just outside of Resident #10's open doorway. During the interview, the resident kept his eyes on Staff K. She confirmed that the sitter had left for the day so…
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
$18,780 in federal fines across 2 penalties.
- $6,380 — penalty dated 2025-09-18
- $12,400 — penalty dated 2025-09-18
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 LIFE CARE CENTERS OF AMERICA — 194 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 | 4 of 5 | 3.4 | +0.6 vs chain |
| Health inspection | 3 of 5 | 2.8 | +0.2 vs chain |
| Staffing | 3 of 5 | 3.3 | -0.3 vs chain |
| Quality measures | 5 of 5 | 4.5 | +0.5 vs chain |
The other 193 homes this chain runs (chain average 3.4★, per CMS)
Showing 40 of 193; lowest-rated first.
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 | Since |
|---|---|---|---|
| PRESTON, FORREST | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/24/2015 |
| CONGER, DAVID | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/27/2025 |
| PRESTON, AARON | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2005 |
| SALAS, JULIE | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 08/14/2023 |
| CROSS, CINDY | Individual | CORPORATE OFFICER | since 07/01/2016 |
| HENRY, TERRY | Individual | CORPORATE OFFICER | since 07/01/2016 |
| THURMOND, JOAN | Individual | CORPORATE OFFICER | since 07/01/2016 |
| LIFE CARE CENTERS OF AMERICA, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/24/2015 |
| FLETCHER, TODD | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2022 |
| GELVIN, CHRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/27/2025 |
| LAY, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 04/24/2017 |
| PRESTON, AUBREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 11/27/2024 |
| SWANKER, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2022 |
| ZIEGLER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 08/24/2015 |
CMS files one row per role, so the 22 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $3.0M paid to related parties — landlords or management companies under common ownership — equal to about 22% 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
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 106025. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-18, 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.