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Vivo Healthcare Meadows

5157 Park Club Drive, Sarasota, FL 34235 · For profit - Limited Liability company · 120 certified beds · (941) 377-0022 Medicare & Medicaid certified

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Resident-funds citation (F0569)Behavioral-health or dementia-care citation — no harm found (F0740)2 immediate-jeopardy citations
Insights

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

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0569)
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
5250 17th St Ste 105 · (941) 205-0210 · Call to confirm hours
Pharmacy
5361 Fruitville Rd · (941) 378-4700 · Call to confirm hours
Grocery
Publix1.2 mi
5391 Fruitville Rd · (941) 377-4405 · Call to confirm hours
Park
2500 N Honore Ave · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.2%8.7%15.4%better
Long-stay residents who lose too much weight11.5%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.5%0.3%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.7%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury0.9%2.5%3.3%better
Long-stay residents whose ability to walk worsened10.5%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication11.5%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers3.7%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control15.4%10.5%21.2%worse than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table11.2%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine93.9%94.7%79.4%better
Short-stay residents rehospitalized after admission21.9%26.1%22.6%typical
Short-stay residents with an outpatient ER visit12.1%9.1%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.332.131.67worse
Long-stay outpatient ER visits per 1,000 resident days2.571.151.80worse

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.

32.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 99 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

32.2%U.S. median 51.5%
Got home and stayed home
9.0%U.S. median 10.7%
Went back to hospital
63.8%U.S. median 56.6%
Met the expected recovery
0.47U.S. median 0.31
Therapy hours / resident / day
0.26hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 63.8% 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 80 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 36% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF32.2%CMS range 23.8–39.451.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.0%CMS range 6.2–13.110.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge63.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge50.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge56.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.2%CMS range 6.0–14.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.171.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
0.97
LPN hours/ resident / day
2.12
Aide hours/ resident / day
3.56
Total nurse hours/ resident / day
0.23
RN hoursweekends
51.2%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 93.7 residents a day — about 78% occupied, or roughly 26 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 3.68 on weekdays — 12% thinner on weekends. RN hours go from 0.56 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

6
deficiencies at the latest standard inspection (2024-10-03)
16
at the previous standard inspection (2023-06-23)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

34 citations, most serious first. The 12 most serious are shown; the remaining 22 are one tap away and print in full.

  • Immediate jeopardy · Kcited before2023-06-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff and resident interviews, the facility failed to implement processes to ensure accurate assessment and supervision of residents who smoke tobacco products to protect each resident's individual's safety and the safety of other residents. The facility failed to comprehensively assess and implement adequate interventions to minimize falls for 1(Resident #71) of 1 resident reviewed for falls. On 6/4/23 staff observed Resident #65 smoking in his room with the oxygen concentrator on. The facility failed to reassess Resident #65's ability to adhere to safe smoking precautions and allowed the resident to keep, and store smoking materials. Resident #65 and other residents who required supervision to smoke were observed smoking unsupervised. The smoking area was observed with an overfilled pole cigarette receptacle and the surrounding area littered with cigarette butts. The floor of a clearly marked nonsmoking area had scattered cigarette butts. Residents observed smoking…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · J2023-06-23 · tag F0835 — failed to run the facility competently — isolated
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    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 and staff interview the facility Administration failed to utilize its resources effectively to ensure safe smoking practices, including assessment and supervision of residents who smoke tobacco products to protect residents from serious injury, impairment, or death. On 6/4/23 staff observed Resident #65 smoking in his room with the oxygen concentrator on. The facility failed to reassess Resident #65's ability to adhere to safe smoking precautions and allowed the resident to keep, and store smoking materials. Resident #65 and other residents who required supervision to smoke were observed smoking unsupervised. The smoking area was observed with an overfilled pole cigarette receptacle and the surrounding area littered with cigarette butts. The floor of a clearly marked nonsmoking area had scattered cigarette butts. Residents observed smoking unsupervised in the nonsmoking area with no ashtray. The facility administration's failure to ensure safe smoking practices created a…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-10 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    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, resident representative and staff interviews, the facility failed to ensure resident's refunds were refunded within 30 days after discharge for 1 (Resident #1) of 1 sampled resident due a refund.The findings included:Review of the clinical record revealed Resident #1 had an admission date of 12/9/25 and discharge date of 12/16/25. On 2/10/26 at 9:56 a.m., in a telephone interview the resident's life companion said Resident #1 had been discharged since 12/16/25 and a refund was due to her. He said they spoke with the Administrator the previous week but were still waiting on the money to be refunded.On 2/10/26 at 10:51 a.m., in an interview the Business Office Manager (BOM) said Resident #1 came to the facility as Medicaid pending. She stayed for a few days and decided she didn't want to stay there. The BOM said Resident #1 did not want to provide her information for the Medicaid application and she was advised that they would need to flip her over to private pay. The BOM said Resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-12-23 · tag F0551 — pattern
    Give the resident's representative the ability to exercise the resident's rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, records reviewed and facility policy the facility failed to properly exercise the rights of 3, (Resident #5, Resident #3 and Resident #4), of 3 residents with dementia that had designated representatives by disenrolling the residents from their Medicare Advantage coverage without proper authorization and documentation.The findings included:Review of Facility Policy titled Resident Rights implemented 9/1/23 documented the resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. 1) Exercise of Rights: The resident has the right to exercise his or her rights of the facility as a citizen of the United States.b) In the case of a resident who has not been adjudged incompetent by the State court, the resident has a right to designate a representative, in accordance with State law and any legal surrogate so designated may exercise the resident's rights to the extent provided by State law.Review of Facility Enrollment/Disenrollment Rights for Medicare Beneficiaries not…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-03 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of facility policy, resident and staff interviews the facility failed to make timely necessary repairs to maintain a safe, functional environment for residents, staff and the public. The findings included: Review of the facility Quality Assurance and Improvement Plan specified, We provide a comprehensive maintenance program that maintains building safety, conducts repairs when needed and performs safety inspections in accordance with State and Federal regulations to ensure the safety and well-being of all residents, visitors and staff. On 10/1/24 at 11:10 a.m., in a telephone interview Resident #103's family member said the facility is located down a dark road near the woods. The family member said the parking lot was dark at night, it was creepy and I didn't feel safe going to my car at night. On 10/2/24 at 8:26 a.m., in an interview the Administrator said several lights were out in the parking area and facility grounds. He said the lightbulbs were scheduled to be replaced last week but it was canceled due to the pending hurricane. The Administrator…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-03 · tag F0925 — failed to control pests — pattern
    Make 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 observation, review of facility policy and resident and staff interviews, the facility failed to maintain an effective pest control program to eradicate and contain common household pests. The findings included: The facility's Pest Control Program policy revised 8/24 documented It is the policy of the facility to maintain an effective pest control program that eradicates and contains common household pests and rodents. On 9/30/24 at 10:43 a.m., in an interview Resident #45 said she had seen bugs, black and medium sized crawling on the walls at night. The resident said, The man comes in and sprays, but it does not do the job. I have told the nurses several times. He sprays on the floor, but the bugs climb the walls, so it does not stop them. On 9/30/24 at 11:00 a.m., in the back hall of the lobby a medium brown bug was observed on it's back. Photographic evidence obtained. On 10/1/24 at 10:24 a.m., in an interview Resident #63 said she had seen large bugs in her room. She said, They come in from under the air-conditioning unit over there. They climb on the walls and 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-03 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, facility policy and procedure review, and staff interviews, the facility failed to ensure the comprehensive assessment accurately reflected the status for 2 (Resident #78 and Resident #105) of 32 residents reviewed for accuracy of assessments. The Findings Included: The Resident Assessment - RAI Policy provided by the facility with an October 2024 Revised date stated, This facility makes a comprehensive assessment of each resident's needs, strengths, goals, life history and preferences using the resident assessment instrument (RAI) specified by CMS . The current version of the RAI (MDS 3.0) will be utilized when conducting a comprehensive assessment of each resident in accordance with the instructions found in the RAI Manual . The assessment process will include direct observation and communication with the resident, as well as communication with licensed and non-licensed direct care staff members on all shifts . On 9/30/24 at 1:15 p.m., Resident #78 was observed dressed and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-03 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident and staff interviews, the facility failed to update the care plan and implement physician ordered interventions to prevent the development of pressure ulcers for 1 (Resident #42) of 2 residents reviewed with limited mobility. The findings included: Review of the clinical record revealed Resident #42 was admitted to the facility on [DATE]. Diagnoses included difficulty walking, muscle weakness, reduced mobility and compression fracture of the vertebra. The admission Minimum Data Set (MDS) Assessment with a target date of 4/25/24 noted Resident #42 was dependent (Helper does all of the effort, Resident does none of the effort) to roll left and right, sit to lying, and lying to sitting on the side of the bed. Resident #42 had no pressure ulcer but was at risk of developing pressure ulcers. The Quarterly MDS assessment with a target date of 7/26/24 noted Resident #42's cognition was intact with a Brief Interview for Mental Status score of 14. Review of the physician'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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-03 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of the clinical record, review of facility policy and resident and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 1 (Resident #11) of 5 residents reviewed for activities of daily living (ADL's). The findings included: The facility policy Activities of Daily Living (revised 1/24) documented The facility will, based on the resident's comprehensive assessment and consistent with the resident's abilities in ADL's do not deteriorate unless deterioration in 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. Review of the clinical record revealed Resident #11's diagnoses included major depressive disorder, type 2 diabetes mellitus, dementia, and mood disorder. The care plan initiated 6/7/21 documented Resident #11 had an ADL selfcare performance deficit as evidenced by need for assist with self-care. The interventions instructed The resident requires assist x 1 staff…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-03 · tag F0790 — failed to provide dental care — isolated
    Provide routine and 24-hour emergency dental care for 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 observation, record review, review of facility's policy and procedure and staff interviews the facility failed to provide or obtain dental services to meet the needs of 1 (Resident #78) of 1 resident observed with multiple broken, carious teeth. The findings included: The facility's policy for Dental Services reviewed/revised January 2024 noted it was the policy of this facility to assist residents in obtaining routine (to the extent covered under the State plan) and emergency dental care. Routine dental services means an annual inspection of the oral cavity for signs of disease, diagnosis of dental disease, dental radiographs as needed, dental cleaning, fillings (new and repairs) . smoothing of broken teeth . The dental needs of each resident are identified through the physical assessment and MDS (Minimum Data Set) assessment process and are addressed in each resident's plan of care. Oral/dental status shall be documented according to assessment findings. Referrals to . dental provider shall be made as…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-03 · tag F0569 — isolated
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    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 within 30 days of discharge, eviction or death, residents personal funds and a final accounting is provided to the individual or probate jurisdiction administering the estate for 1 (Resident #1) of 3 residents reviewed discharged mid month. The findings included: On 4/1/24 at 9:53 a.m., Resident #1's son said his mother passed away on January 13, 2024. He said he had still not received a refund from the facility. Resident #1's son said he spoke with someone he believed to be corporate in New Jersey approximately 5 weeks earlier who told him the refund was approved but they were waiting for the check to be cut. Resident #'1's son said he had not yet received a check and had heard nothing since. On 4/1/24 at 1:33 p.m., the Administrator said if a Resident is discharged or passed away, the business office has to issue a refund from that date to the end of the month. He explained the request for refund is handled at the facility but the disbursement is by a third party company. On 4/1/24 at 2:17 p.m., the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice for 1 (Resident #1) of 3 resident reviewed who returned to facility from the hospital. The findings included: On 4/1/24 at 9:53 a.m., Resident #1's son said his mother had been at the hospital and when she returned to the facility in January, he did not believe she was getting all her medications. He said his mother passed away on January 13, 2024. Review of Resident #1's chart revealed she was a long term care resident who had been sent out to the hospital and returned to the facility on 1/9/24. Physician progress note dated 1/9/24 indicated discuss case with nursing staff and continue with meds: Gabapentin (anticonvulsant and nerve pain medication), Nitroglycerin sublingual (treats chest pain), Breo Elipta and Ipratropium-Albuterol (inhaler), Protonix (treats reflux), Tegretol (treats seizures and nerve pain), Carbidopa-Levadopa (treats tremors), Pramipexole Dihydrochloride (treats tremors), Amantadine (anti viral),…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 22 citations
  • Potential for harm · F2023-06-23 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and policy review, the facility failed to maintain the kitchen in a sanitary manner and in good repair by failing to store cloths used for wiping surfaces in red sanitizing pails, failing to repair the leaking 3-compartment sink sprayer, failing to change the ice machine water filter according to manufacturer's specifications, storing measuring scoop for thickener inside of the bin in contact with the thickener, kitchen staff eating lunch while working and touching kitchen equipment, failing to wash hands between eating lunch, changing trash can bag, and placing lunch plates in the plate warmer. The findings included: Review of the facility policy Preventing Foodborne Illness - Employee Hygiene and Sanitary Practices: . Employees must wash their hands: b. After using tobacco, eating, or drinking; d. Before coming in contact with any food surfaces; f. After handling soiled equipment or utensils; h. After engaging in other activities that contaminate the hands. 14. Personnel may not . eat or drink in the food preparation area. On 6/19/23 at 9:15…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-23 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, resident, and staff interviews, the facility failed to promote a positive, dignified dining experience by failure to serve meals with appropriate, and matching silverware. The findings included: On 6/19/23 at 12:24 p.m., observation of the lunch meal in the main dining room revealed the following: Residents were using a mixture of mismatched plastic and metal forks, knives, and spoons. Resident #27 was using a plastic fork, metal knife, and metal spoon. She said they get plastic cutlery 90% of the time and it bothers her, this is not what she would use in her own home. Resident #99 was using a plastic fork, metal knife and spoon. She said the dining room was like a yak place because it was noisy and not nice for dining. By the time she's given the food it is cold. Resident #99 said they are given plastic utensils a third of the time and it is not what she used at home. Photographic evidence obtained. On 6/19/23 at 12:49 p.m., Resident #4 said they get served plastic utensils a lot. She was using a plastic fork, plastic knife, and metal spoon. She said she…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-06-23 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, and resident and staff interviews, the facility failed to provide housekeeping and maintenance services to ensure a clean, sanitary and homelike environment in 2 (400 and 600) of 6 halls observed, failed to ensure the availability of bed and bath linen to meet the needs of the residents and failed to implement policies and procedures to prevent the loss of personal items for 2 (Resident #59 and #84) of 5 sampled residents. The findings included: The facility policy, Preventative Maintenance Program (revised 1/2023) documented, A Preventative Maintenance Program shall be developed and implemented to ensure the provision of a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. On 6/19/23 at 9:30 a.m., during an initial tour of the facility, the following observations were made: 1. The toilet in room [ROOM NUMBER] was missing the cover for the tank, exposing the inner mechanisms of the toilet. The top of the toilet tank was stored on the bathroom…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-06-23 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of facility policy and procedures, staff and resident interviews the facility failed to provide the necessary care and services to maintain personal hygiene for 3(Resident #33, #60 and #101) of 4 residents observed for activities of daily living (ADLs). The findings included: The facility policy Activities of Daily Living (revised 9/22) documented Based on the comprehensive assessment of a patient and consistent with the patients needs and choices, the Center must provide the necessary care and services to ensure that a patient's abilities in ADL'S do not diminish unless circumstances of the individual clinical condition demonstrate that such diminution was unavoidable. A patient who is unable to carry out ADL's receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. 1. Review of the clinical record revealed Resident #33 had an admission date of 12/8/21 with diagnoses including cognitive communication deficit, need for assistance with personal care, dementia and major depressive disorder. The Quarterly Minimum…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-23 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    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 the clinical records, review of facility policies and procedures, and staff interviews, the facility the facility failed to implement meaningful resident centered activities to meet the interest and wellbeing of 8 (Resident #22, #33, #34, #47, #71, #74, #88 and #209) of 8 residents 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 Resident Self Determination and Participation (Activities) revised 9/22, specified, The facility's activity program is designed to promote and facilitate resident self-determination through support of resident choice and resident rights. Each resident has the opportunity to exercise his or her autonomy regarding those things that are important in his or her life. The Activity Director shall develop a plan of care for the resident based on the resident's assessment, goals, and preferences. 1. Review 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-23 · tag F0680 — pattern
    Ensure the activities program is directed by a qualified professional.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, and staff interviews, the facility failed to ensure the activities program was directed by a qualified professional who is a qualified therapeutic recreation specialist or an activity professional. This has the potential to affect all current residents residing in the facility. The findings included: On 6/21/23 at 1:10 p.m., Activities assistant, Staff F said the facility had not had an Activities Director since the previous Activities Director (AD) resigned over a month ago. She stated she spent a small amount of time with the activities Director prior to him leaving and he taught her how to put the monthly activities calendar out every month. Staff F said she provided activities to the residents on weekdays, and a Certified Nursing Assistant provided activities on the weekends. Staff F said she did not receive training in activities since starting at her position, and had had no previous experience in activities prior to accepting the activities assistant position. Review of the background screening clearinghouse showed the previous Activities Director'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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-23 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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, staff interview and resident interviews, the facility failed to provide food that is palatable, attractive, and at an appropriate temperature for 3 (Resident #32, 48, and 59) of 3 residents reviewed for food at the facility. The findings included: Review of the facility grievance log from April 2023 through June 2023 revealed 6 dietary complaints from residents and one group complaint from the resident council. The grievances included complaints about hot foods being served cold to the residents. On 6/19/23 at 12:49 p.m., Resident #48 said the food was always cold because the kitchen plate warmer doesn't work, and the food sits in the hall too long when the cart arrives from the kitchen. On 6/19/23 at 3:50 p.m., Resident #32 said the meat cuts they get for lunch and dinner are seldom tender, there is hardly any gravy on the biscuits and gravy, and the coffee is frequently cold. On 6/19/23 at 3:51 p.m., Resident #59 said the breakfast is crap and is ice cold. She said 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-23 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff interviews, the facility failed to ensure a Level II Preadmission Screening and Resident Review (PASRR) was completed for 2 (Resident #24, and #74) of 4 residents reviewed with mental illness. This failure prevented residents from further evaluation to determine whether the residents required special services exceeding those provided by the nursing facility. The findings included: Review of the Facility Policy Resident Assessment - Coordination with PASRR Program Revised December 2022: 1. All applicants to this facility will be screened for serious mental disorders or intellectual disabilities and related conditions in accordance with the State's Medicaid rules for screening. a. ii. Positive Level I Screen - necessitates a PASRR Level II evaluation prior to admission. b. PASRR Level II - a comprehensive evaluation by the appropriate stare-designated authority (cannot be completed by the facility) that determines whether the individual has Mental Disorder (MD), Intellectual…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-23 · tag F0646 — isolated
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    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 notify the appropriate mental health authority of a significant change in status for 1 (Resident #34) of 3 residents with diagnosis of mental illness reviewed for appropriate care and services. The findings included: Resident #34 was admitted to the facility on [DATE] from an acute care hospital with a history of mood disorder. The PASSAR (Preadmission Screening and Resident Review) at the time of admission showed Resident #34 had no history of mental Illness. The Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form (Form 3008) completed at the hospital documented the resident had bouts of confusion, and failure to thrive as the primary diagnosis. Review of Resident #34's progress notes showed on 7/28/22 she was having behavioral issues with excessively calling for staff and not having any issues when staff answered her call light. Resident #34's progress notes show she was screaming for no reason. On 7/29/22 the progress…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, review of policies and procedures, resident and staff interview, the facility failed to supervise and ensure adequate monitoring to meet the needs for of 1 (Resident #67) of 2 sampled residents requiring the use of oxygen. The findings included: The facility policy Titled Oxygen Administration, revised December 2022 stated, Oxygen is administered to residents who need it, consistent with professional standards of practice. The comprehensive person-centered care plans, and the residents' goals and preferences. Policy Explanation and Compliance Guidelines: Oxygen is administered under orders of a physician, except in the case of an emergency . The Residents care plan shall identify the interventions for oxygen therapy, based upon the residents assessment and orders. Clinical record review revealed resident #67 was admitted to the facility on [DATE]. Diagnoses included End-Stage Renal Disease, dialysis, Stroke with one sided weakness, Chronic Obstructive Pulmonary Disease…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-23 · tag F0700 — isolated
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to show evidence of alternatives to side rails were attempted and an entrapment assessment was completed prior to the use of side rails for 2 (Residents #10 and #85) of 28 residents reviewed for use of side rails. The findings included: The facility policy, titled Proper Use of Bed Rails, with an effective date of 10/1/22 stated: It is the policy of this facility to utilize a person-centered approach when determining the use of bed rails. Appropriate alternative approaches are attempted prior to installing or using bed rails. If bed rails are used, the facility ensures correct installations, use and maintenance of the rails. The resident assessment must include an evaluation of the alternatives that were attempted prior to the installation or use of a bed rail and how these alternatives failed to meet the resident's assessed needs. The resident assessment should assess the resident's risk of entrapment between the mattress and bed rail or in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-23 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review, and interview the facility failed to ensure a yearly performance evaluation for 3 (Staff F, Staff CC, Staff EE) of 5 sampled Certified Nursing Assistants (CNAs). The findings included: CNA Staff F had a hire date of 6/15/17. CNA Staff CC had a hire date of 5/19/20. CNA Staff EE had a hire date of 6/15/20. Review of the personnel documentation for CNA Staff F, Staff CC and Staff EE failed to reveal a yearly performance evaluation. On 6/23/23 at approximately 3:30 p.m., the Assistant Director of Nursing verified the lack of documentation of a yearly performance evaluation completed for Staff F, Staff CC or Staff EE.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-23 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, review of facility policies, review of the clinical record and resident and staff interviews, the facility failed to ensure residents individualized behavioral health needs were met and failed to identify the underlying causes of the resident's depression, anxiety and agitation to prevent distress for 1 (Resident #58) of 2 residents reviewed for mental health services. The findings included: The facility policy Behaviors: Management of Symptoms (revised 9/22) documented, Patients exhibiting behavioral symptoms will be individually evaluated to determine the behavior. The interdisciplinary team identifies underlying medical, physical, functional, psychosocial, emotional, psychiatric, or environmental causes that contribute to changes in the patient's behavior. Based on the comprehensive assessment, staff must ensure that a patient: Who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty receives appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-23 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, and resident and staff interviews, the facility failed to make the necessary timely repairs to maintain a functional, and comfortable environment in the laundry room. The findings included: The facility policy, Preventative Maintenance Program (revised 1/2023) documented, A Preventative Maintenance Program shall be developed and implemented to ensure the provision of a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. The Maintenance Director is responsible for developing and maintaining a schedule of maintenance services to ensure that the buildings, grounds, and equipment are maintained in a safe and operable manner. The Maintenance Director shall assess all aspects of the physical plant to determine if Preventative Maintenance (PM) is required. Required PM may be determined from manufacturer's recommendations, maintenance requests, grand rounds, life safety requirements, or experience. On 6/19/23 at 10:39 a.m., during an initial tour the laundry room was noted to be very warm. Laundry Aide Staff R's shirt was wet…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and review of facility policies the facility failed to maintain a clean, safe, and homelike environment for residents evidenced by nonfunctioning clocks in resident rooms, calls bells not being within resident's reach, insects in resident rooms and common areas, and dirty rooms for four days of observations. The findings included: Review of facility policy, Answering the Call Light, which said, The purpose of this procedure is to respond to the resident's requests and needs When the resident is in bed or confirmed to a chair be sure the call light is within easy reach of the resident. On 3/29/22 at 7:46 a.m., the call bell for Resident # 94, room [ROOM NUMBER] bed 2, was observed in bed with the call bell on the floor not within resident's reach while resident was in bed. On 3/30/22 at 9:03a.m., observed Resident #90, room [ROOM NUMBER] bed 2, in wheelchair with call bell not in reach. Observed call bell clipped to itself on the wall behind the room dividing curtain. *…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-01 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to accurately assess 2 residents (#35 and #54) out of 2 residents with oxygen and pacemakers. The findings included: Review of the medical record revealed Resident #35 was admitted to the facility in September 2020 with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD). Review of the Minimum Data Sets (MDS) dated [DATE], 1/26/22, and 3/19/22 revealed Resident #35 was using oxygen while admitted to the facility. Review of the January, February, and March 2022 Medication Administration Record (MAR) for Resident #35 revealed an active order for Oxygen 2 liters per minute via nasal cannula as needed for shortness of breath. The order had a start date of 12/5/21. There were no initials from nursing staff on the MAR signifying Resident #35 was using oxygen at the facility during the months of January, February, or March. Review of the care plans for Resident #35 revealed no oxygen care plan had been formulated for Resident #35 indicating…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-01 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and staff interview, the facility failed to develop a comprehensive plan of care to address the identified problem of edema (swelling) for 1 (Resident #41) of 1 residents reviewed for edema. The findings included: Resident #41 was admitted to the facility on [DATE]. Review of the resident's diagnoses upon admission showed no history of edema. Review of the Resident #41's EMPC Nursing Comprehensive Assessment V3.2 completed at the time of admission showed Resident #1 had +1 edema to her extremities at the time of her admission. Review of resident #41's physician's orders shows she had an order for the diuretic Hydrochlorothiazide 25 mg daily (used to treat swelling) for edema ordered on 1/29/22. The order was discontinued on 3/7/22. At 3/30/22 at 9:52 a.m. Resident #41 was observed in the Starlight dining room sitting in a wheelchair with her legs not elevated. Edema was observed to both lower extremities. The swelling extended above the resident's ankles. The resident's socks…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-01 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, resident record review and review of facility policy the facility failed to provide necessary services to maintain good grooming for 2 (Residents #94 and #202) of 2 residents requiring assistance with activities of daily living. This has the potential to cause psychological harm to the resident. The findings included: Review of facility policy titled, Activities of Daily Living (ADLs), revised 11/28/2016 stated, The Center must provide the necessary care and services to ensure that a patient's abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable. Activities of daily living (ADLs) include: Hygiene- bathing, dressing, grooming and oral care . ADL care is documented every shift by the nursing assistant on the ADL flow record or in Point Click Care (PCC) ADL Point of Care (POC) . A patient who is unable to carry out ADLs receives the necessary services to maintain good nutrition, foot care, grooming and dressing, hair care, nail care,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, resident and staff interview, and record review, the facility failed to provide treatment and care in accordance with professional standards for suture removal for 1 (Resident #8) of 1 resident reviewed for suture removal. The findings included: Record Review of the Facility Policy on Skin Integrity Management, Practice Standards #2. Complete comprehensive evaluation of the patient upon admission/re-admission to the Center. #3. Identify patient's skin integrity status and need for prevention, intervention, or treatment modalities through review of all appropriate assessment information. On 3/29/22 at 11:10 a.m. in an interview, Resident #8 said he was admitted to the facility a few months ago after an automobile injury and hospital admission. Resident #8 said a few days ago he found sutures from the injury that were never removed by the facility after he was admitted . Resident #8 exposed the right side of his chest under the arm to reveal the sutures. On 3/31/22 at 10:10 a.m., the Assistant Director of Nursing (ADON) said the nurse performs skin checks once a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, the facility failed to ensure the absence of accident hazards for 1 resident (Resident #35) out of 1 residents observed for accident hazards. The findings included: Record review of the facility Resident Smoking Policy and Procedure, 2020. This policy will maintain an environment that remains as free of accident hazards as possible #1b. Residents are not permitted to have any smoking paraphernalia in their room or on their person. On 3/19/22 at 9:15 a.m. Resident #35 was observed in his room using oxygen running at 5 liters per minute. There was a pack of cigarettes and a lighter on his bedside tray table in open view observable from 6 feet away. Resident #35 said he keeps the cigarettes and lighter in his room all the time. On 3/19/22 at 9:47 a.m. Resident #35 was observed in his room. The oxygen was running at 5 liters per minute. The cigarettes and lighter were on the bedside tray table in open view observable from 6 feet away. On 3/30/22 at 12:15 p.m. Resident #35 was observed in his room. The oxygen was running at 5 liters per…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, the facility failed to provide oxygen therapy, in accordance with physician's orders for 1 resident (Resident #80) of 2 residents reviewed for oxygen administration. Failure to follow prescribed oxygen therapy may result in inadequate oxygen treatment or an increased risk of side effects and complications. Findings included: Received a copy of policy and procedure for oxygen administration. Record review of Oxygen Administration policy, Revised 12/12/20: Oxygen will be administered as per MD order to aid in breathing. Emergency oxygen may be administered by licensed nurse without a M.D. order. The M.D. will be consulted as soon as possible and order oxygen if continuation is required. On 3/29/22 at approximately 8:00 a.m. observation revealed Resident #80 was asleep in bed. The Continuous Positive Airway Pressure (CPAP) mask was on the bed next to resident #80. Resident #80 was receiving oxygen therapy via nasal canula that was connected to an oxygen concentrator. The concentrator was set at 5 liters per minute (LPM). On 3/29/22…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-01 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and record review the facility failed to ensure two residents' (Resident #44, and #19) of 5 residents surveyed for unnecessary medications were free from significant medication errors. The Findings included: 1. Record review of Resident #44 revealed a physician's order dated 3/16/22 for, Ceftriaxone Sodium Powder Inject 1 gram intramuscularly one time only for UTI (Urinary Tract Infection) for 1 Day. Review of Resident #44's Medication Administration Record (MAR) shows on 3/16/22 Licensed Practical Nurse, Staff Y documented a number 9 on the MAR. for Ceftriaxone. Review of the code on the MAR shows 9 means, See Progress Note. The progress notes for Resident #44 documented on 3/16/22 at 4:22 p.m. showed the medication was not available. There was no documentation on the MAR to show Resident #44 received the antibiotic ordered. On 3/31/21 at 3:35 p.m. the Director of Nursing (DON) verified there was no documentation Resident #44 received the intermuscular antibiotic medication ordered by the physician. The DON said the antibiotic was always available in a locked…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to VIVO HEALTHCARE — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 52.4-1.4 vs chain
Health inspection 1 of 51.9-0.9 vs chain
Staffing 2 of 52.7-0.7 vs chain
Quality measures 4 of 54.3-0.3 vs chain
The other 11 homes this chain runs (chain average 2.4★, 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 / managerTypeRoleShareSince
TARPON HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/01/2025
JEK IRRV TR IIOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 05/01/2025
NMJ IRRV TR IIOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 05/01/2025
SF TRUST HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST24%since 05/01/2025
GLUCK, BENJAMINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF8%since 05/01/2025
FRIEDLAND, SHALOMIndividualINDIRECT OWNERSHIP INTERESTsince 05/01/2025
JAKOBOVITS, NATHANIndividualINDIRECT OWNERSHIP INTERESTsince 05/01/2025
KAGAN, JEFFREYIndividualINDIRECT OWNERSHIP INTERESTsince 05/01/2025
KRALIK, SHADRICKIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 05/01/2025
REILLY, MELISSAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025
CUKIER, JOSEFIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025
KANNER, SHLOMOIndividualTRUSTEE OF THE SNFsince 05/01/2025
FL 2 PROPCO HOLDINGS LLCOrganizationADP OF THE SNFsince 05/01/2025
SF IRREVOCABLE TRUSTOrganizationADP OF THE SNFsince 05/01/2025

CMS files one row per role, so the 20 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$12.2M
Net patient revenuemost recent cost report
-11.2%
Operating marginrevenue minus expenses
$2.1M
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 79%Medicare 11%Other / private 10%

About 79% 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 $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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

$360per resident / day
operating cost
$10,948per month
≈ monthly operating cost
$324per day
avg. revenue, all payers

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

What families pay in FL

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105702. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-03, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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