Aviata At South Daytona
650 Reed Canal Rd, South Daytona, FL 32119 · For profit - Corporation · 65 certified beds · (386) 767-4831 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited May 2026
- inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $25,723 in federal fines (most recent 2023-10-30)
- its independent health-inspection rating is low (2/5)
- 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 11.1% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 7.9% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.8% | 0.3% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.6% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 4.8% | 4.6% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 7.2% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 4.3% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 5.6% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.2% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 11.7% | 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 table | 9.4% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.6% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 82.4% | 94.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 29.3% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 19.9% | 9.1% | 12.0% | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Met the expected recovery: 51.7% 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 29 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 0.23 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 51.7% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 44.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 34.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 95.8% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 5.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 9.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.82 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 65 beds and averages 55.1 residents a day — about 85% occupied, or roughly 10 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 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 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 3.13 hrs/resident/day on weekends vs 3.45 on weekdays — 9% thinner on weekends. RN hours go from 0.58 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 12 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · J2026-05-20 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and review of facility records, the facility failed to ensure the residents' right to be free from neglect by failing to implement sufficient safeguards and supervision to prevent one (Resident #1) of five residents reviewed for Activities of Daily Living (ADL) care from an avoidable fall with subsequent fractures of the lower right femur (thigh bone) and right patella (kneecap). The facility failed to ensure that staff implemented care plan interventions specifying two-person assistance and the use of a mechanical lift during transfers for Resident #1. On April 22, 2026, one certified nursing assistant (CNA) attempted to transfer Resident #1 from her bed to her chair by using a stand-and pivot method rather than following the resident's care plan indicating the need for a mechanical lift and two staff members for transfers. The resident fell during the transfer and sustained right femur and patellar fractures.Any resident requiring two-person staff assistance during transfers…
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.
- Immediate jeopardy · J2026-05-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and review of facility records, the facility failed to implement sufficient safeguards and supervision to prevent one (Resident #1) of five residents reviewed for Activities of Daily Living (ADL) care from an avoidable fall with subsequent fractures of the lower right femur (thigh bone) and right patella (kneecap). The facility failed to ensure that staff implemented care plan interventions specifying two-person assistance and the use of a mechanical lift during transfers for Resident #1. On April 22, 2026, one certified nursing assistant (CNA) attempted to transfer Resident #1 from her bed to her chair by using a stand-and pivot method rather than following the resident's care plan indicating the need for a mechanical lift and two staff members for transfers. The resident fell during the transfer and sustained right femur and patellar fractures.Any resident requiring two-person staff assistance during transfers was at risk. There were 19 residents who required two-person…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-08-14 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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, interviews, facility record review, and a review of facility policies and procedures, the facility failed to ensure it provided a clean, comfortable and homelike environment in four (Rooms #7, #8, #12 and #16) of 30 sampled rooms.The findings include: 1.On 08/11/25 at 11:07 AM, room [ROOM NUMBER] was observed and the bottom portion of the window was missing and covered with a large piece of wood and duct tape. On 08/11/25 at 11:11 AM, room [ROOM NUMBER]'s wall was observed with missing drywall and chipped paint. On 08/11/25 at 11:15 AM, room [ROOM NUMBER] was observed with a wall unit air conditioner missing the control knob and a 3 foot by 2-foot area adjacent to the wall air conditioner unit covered with chipped and bubbling paint. The door frame adjacent to the bathroom door was observed with rotting wood and chipped paint. Several baseboards in the room were missing paint. On 08/14/25 at 9:35 AM, a second observation was made of room [ROOM NUMBER] and the bottom portion of window was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-08-14 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 a main nursing station refrigerator observation, facility documentation, staff interviews, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect more than a limited number of residents who consumed foods from the facility, by failing to properly monitor and log temperatures of the main nursing station refrigerator. Unsafe food handling practices represent a potential source of pathogen exposure.The findings include: A follow-up tour was conducted on 08/13/2025 at 11:05 AM. During the tour, it was observed that temperatures were not accurately monitored for the refrigerator at the main nursing station where resident supplements were stored. Temperature documentation was missing for August 2025. (Photographic evidence obtained) An interview was conducted on 08/13/2025 at 12:17 PM with Registered Nurse (RN)/Infection Preventionist M. When asked who was responsible for checking and logging temperatures for the main nursing station…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-14 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, facility document review, and the facility Policy and Procedure, the facility failed to ensure the Pharmacist Medication Regimen Reviews were maintained and carried out to minimize or prevent adverse consequences, to the extent possible for two (Residents #4 and #43) of five residents reviewed in a total survey sample of 30 residents.The findings include: 1.A review of Resident #4's Consultant Pharmacist Medication Regimen Review, dated 2/18/2025, revealed a recommendation made by consultant pharmacist: Need behavior monitoring added to electronic Medication Administration Record (eMAR) while on Trazodone and Zoloft. Another review dated 7/10/2025, included a recommendation to please add behavior monitoring to eMAR while on Trazodone and Sertraline. (Copies obtained) A review of Resident #4's active physician's orders included trazodone HCl (hydrochloride) oral tablet 100 mg (milligrams), give 200 mg by mouth at bedtime related to major depressive disorder, recurrent,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-14 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and policy and procedure review, the facility failed to ensure staff followed the facility's infection prevention and control program (IPCP) and adhered to isolation precautions for one (Resident #8) of six residents who were positive for COVID-19, by entering the resident's room without donning the required personal protective equipment (PPE) and transporting the resident without a mask to a common area, exposing other residents to COVID-19. The findings include: On 08/11/25 at 1:00 PM, upon entry to the facility, staff notified the survey team of an outbreak of COVID-19 with six of a census of 59 residents positive for COVID-19. On 08/11/25 at 2:08 PM, Certified Nursing Assistant (CNA) C was observed exiting Resident #8's room wearing only a surgical mask. Resident #8's door had droplet precaution signage and a fully stocked personal protective equipment (PPE) cart in the hallway adjacent to the door. CNA C reported that she had worked as a CNA at the facility since January of 2025. When she was asked what the facility's policy was for entering 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.
- Potential for harm · D2025-08-14 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, interviews, and a review of facility policies and procedures, the facility failed to ensure that the call system was accessible to residents while in their beds for three (Residents #10, #20, and # 31) of a facility census of 59 residents. The findings include: 1.On 8/12/2025 at 11:35 AM, Resident #10 was observed awake in bed. His call light was observed out of his reach under the bed. He was asked how he would get the staff's attention if he needed help. He stated, You push the button, or you holler out. He was asked if he could reach his call light. He was unable to reach it. (Photographic evidence obtained) On 08/13/2025 at 9:24 AM, Resident #10's call light was observed out of his reach under the bed. (Photographic evidence obtained) On 8/13/2025 at 9:30 AM, an interview was conducted with Certified Nursing Assistant (CNA) H. She was asked how residents alerted the staff that they needed help when they were in their rooms. She stated, They use the call light. She was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-07-15 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, document review, and facility policy and procedure review, the facility failed to maintain a sanitary and comfortable environment for residents and staff by failing to ensure hot water was available in resident rooms, resident shower rooms and employee bathrooms. This deficient practice had the potential to impact all 51 residents residing in the facility at the time of the survey. The findings include:On 07/14/25 at 12:41 PM, water temperatures in the facility were taken in the presence of the Regional Plant Operations. Using a dial stem thermometer, resident bathrooms, shower rooms and employee hand washing stations were measured and revealed the following:East Sideroom [ROOM NUMBER]: 78 [NAME] #2: 78 [NAME] #3: 91 [NAME] #4: 78 FRooms #5 and #7 (Jack and [NAME]/ shared bathroom): 70 FRooms #6 and #8: 80 FRooms #10 and #12: 80 [NAME] Side Shower Room: 78 FEmployee Restroom [ROOM NUMBER]: 80 FEmployee Restroom [ROOM NUMBER]: 80 FWest SideRooms #16 and #18: 78 FRooms #19…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-08-29 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record reviews, and staff interviews, the facility failed to ensure a medication error rate of less than 5%. There were five errors with 38 opportunities for error, resulting in an error rate of 13.15789% and involving four (Residents #24, #29, #44, and #9) of six residents observed during medication administration, from a total of 22 residents in the sample. The findings include: During medication administration on 8/28/23 at 3:45 p.m., Licensed Practical Nurse (LPN) A was observed preparing medication for Resident #24. She obtained Eliquis (anticoagulant) 5 milligrams (mg), Coreg 6.25 mg for blood pressure, another Eliquis 5 mg and Vitamin C 500 mg. She stated medication should be crushed and administered via gastrostomy tube (G-tube - feeding tube). She picked up a pill crusher pouch ready to pour the medication in. She was asked to verify the medications with the orders and she confirmed that she had pulled two tablets of Eliquis 5mg instead of one as was ordered. She removed one Eliquis pill from the medication cup and discarded it. On 8/28/23 at 3:53…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-08-29 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations throughout the facility and interviews with staff, the facility failed to provide a sanitary, homelike environment for residents, staff and visitors by neglecting to maintain walls that housed resident personal air conditioner units in five of five rooms observed on the east wing (rooms 2, 3, 4, 6 and 12) out of 10 rooms on the unit and a total of 22 resident rooms in the facility. The facility also failed to provide needed maintenance and cleaning to the baseboards and the carpeted walls under the handrails on both the east and west wings. The findings include: Observations of the east wing were conducted on 8/27/23 at 12:56 p.m. In room [ROOM NUMBER], approximately 16 inches of the vertical surface wall to the right of the window air conditioner was observed with a significant amount of what appeared to be water damage. The wall was warped, bubbled, and cracking/peeling. The area extended approximately 16 inches up the right side of the unit. A ¼ inch gap between the unit and the wall…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-29 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of resident records, facility policies and procedures, and interviews with staff, the facility failed to provide written notification of emergency transfer and failed to send that notification to the Office of the State Long-Term Care Ombudsman for one (Resident #47) of one resident reviewed for [NAME] Acts (voluntary or involuntary hospital admission for psychiatric care and stabilization), from a total of 22 residents in the sample. The findings include: A review of Resident #47's medical record found he was admitted to the facility on [DATE]. He had diagnoses including, but not limited to, dementia with behavioral disturbance, history of transient-ischemic attack (a brief stroke-like attack), mild cognitive impairment, insomnia, anxiety, and major depressive disorder, single episode, moderate. Resident #47's medical record revealed that he had a family member designated as his primary emergency contact and responsible party. A quarterly minimum data set (MDS) assessment with a reference date…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-29 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of resident records, facility policies and procedures, and interviews with staff, the facility failed to provide written information prior to hospital transfer that notified the resident/representative of the facility's bed hold policy for one (Resident #47) of one resident (Resident 47) reviewed for a hospital transfer/Baker Act, from a total of 22 residents in the sample. The findings include: A review of Resident #47's medical record found he was admitted to the facility on [DATE]. He had diagnoses including, but not limited to, dementia with behavioral disturbance, history of transient-ischemic attack (a brief stroke-like attack), mild cognitive impairment, insomnia, anxiety, and major depressive disorder, single episode, moderate. Resident #47's medical record revealed that he had a family member designated as his primary emergency contact and responsible party. A quarterly minimum data set (MDS) assessment with a reference date of 8/22/23, noted that Resident #47 presented with continuous…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · D2023-08-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that one (Resident #1) of two residents who were unable to carry out activities of daily living (ADL) independently, from a sample of 22 residents, received the care and services necessary to maintain good grooming and personal hygiene. Resident #1 was not provided adequate nail care. The findings include: On 8/27/23 at 3:00 p.m., Resident #1 was observed in bed watching television. Her fingernails were long on both hands. In an interview on 8/27/23 at 3:02 p.m., Resident #1 confirmed that she preferred her fingernails short and polished. She looked at her thumbnails and said, These are too long and dirty; they need to be trimmed. A review of the resident's medical record revealed that she was admitted to the facility on [DATE]. Her diagnoses included, but were not limited to, neurocognitive disorder with Lewy bodies (dementia), osteoarthritis, unspecified cognitive/communication disorder, major depression, and unspecified dementia…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2021-11-10 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 observations and staff interviews, the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety. This failure affected all 54 residents who received meals from the kitchen, as well as any residents who received food from the nourishment room, from a total of 55 residents in the facility. The findings include: On 11/7/21 at 12:39 p.m., two clinical staff were observed entering the kitchen without hairnets. On 11/9/21, the trayline was observed at 12:10 p.m. Observations were made of Dietary Aide S putting plastic bottoms on top of a resident's plate. The Certified Dietary Manager (CDM) was asked at this time whether bottoms were being used as tops and he stated no. Observations were made of a barbequed chicken sandwich being served on a plate that was being compromised by being pressed down on with the plastic bottom. The CDM stated they were bottoms, then proceeded to ask staff to use tops and bottoms plastic ware on each plate. At this time Dietary Aide S stated, We don't have enough tops. The CDM did 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.
- Potential for harm · Ecited before2021-11-10 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to provide a safe, clean, comfortable, and homelike environment. Specifically, the facility failed to ensure dining throughout the facility was provided in a way to maximize independence, personalization, and a comfortable, homelike environment at mealtimes. This had the potential to affect all 54 residents in the facility. The facility also failed to ensure resident bed linens were clean and in good condition for one (Resident #2) of eight sampled residents reviewed for environmental concerns, from a total of 30 residents in the sample. The findings include: 1. Lunch service was observed on 11/7/21 at 12:28 p.m. Residents were served lunch in resident rooms and in the main dining room with all meals left on top of the plastic serving trays. The meals were not placed on tables or prepared for the residents in a homelike manner. Lunch service was observed on 11/9/21 at 12:32 p.m. Meal service was again served with the food kept on the plastic serving trays for all residents in the dining room and in resident rooms. Lunch…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-11-10 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, a review of resident records, and staff interviews, the facility failed to ensure each resident's right to a dignified existence by failing to 1) Ensure privacy during enteral feeding for one (Resident #12) of three residents reviewed for dignity, 2) Refrain from using labels to identify residents by their dining needs in the presence of the resident for one (Resident #38) of three residents reviewed for dignity, and 3) Respectfully escort one (Resident #44) of one resistive resident to her room for incontinence care, from a total of three residents reviewed for dignity and a total of 30 residents in the sample. The findings include: 1. An observation of Resident #12's room was conducted with the Administrator on 11/10/21 at 1:54 PM. The bedroom door was open upon arrival and Resident #12 was observed in the B bed. Licensed Practical Nurse (LPN) G was standing over him. Another (unsampled) resident was in the C bed, approximately four feet away from Resident #12. The privacy 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.
- Potential for harm · D2021-11-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure that one (Resident #23) of four residents reviewed for nutritional risk, out of 30 sampled residents, was properly monitored for acceptable parameters of nutritional status. Specifically, the facility failed to ensure Resident #23 was properly monitored for potential weight loss. The findings include: A review of Resident #23's medical record revealed she was admitted to the facility on [DATE]. Her primary diagnosis was dementia with behavioral disturbance. Secondary diagnoses included diabetes, schizoaffective disorder, hypertension, hypothyroidism, mild protein-calorie malnutrition, vitamin B12 deficiency anemia, and vitamin D deficiency. The 9/16/21 minimum data set (MDS) assessment documented a brief interview for mental status (BIMS) score of 0 out of a possible 15 points, indicating severe cognitive impairment. Resident #23 was documented as requiring supervision with set-up only for eating. Her weight was documented as 142…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-11-10 · tag F0732 — isolatedPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, review of facility records and interviews with staff, the facility failed to post daily staffing information that included the name of the facility and the actual number of hours worked by Registered Nurses (RNs), Licensed Practical Nurses (LPNs) and Certified Nurse Aides (CNAs) on one of four days during the survey, and on an indeterminate number of days between 10/27/21 and 11/7/21. The findings include: An observation of the posted nurse staffing hours was made on 11/07/21 at 11:15 AM. The form was encased in a plastic picture frame and prominently displayed on the countertop at the nurses' station. The document, however, reflected the staffing hours for RNs, LPNs and CNAs for the day of 10/27/21. There were no additional completed staffing forms for more recent dates behind the single sheet. (Photographic evidence obtained) An interview was conducted with the Staffing Coordinator (SC) on 11/10/21 at 3:01 PM. She stated the night nurse was responsible for posting the daily nurse staffing form, but if the night nurse did not post it, she would. The SC did 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.
- Potential for harm · D2021-11-10 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of resident records, interviews with staff, and a review of facility policies and procedures, the facility failed to ensure PRN (as needed) orders for psychotropic medications were limited to 14 days, and were not renewed unless the prescribing practitioner evaluated the resident for one (Resident #5) of one residents with an open-ended PRN order, out of six residents reviewed for unnecessary medications, from a total of 30 residents in the sample. The findings include: A record review for Resident #5 revealed she was [AGE] years old. An admission Minimum Data Set (MDS) assessment with an assessment reference date of 8/9/21, noted inattention and disorganized thought were continuously present. Diagnoses included non-Alzheimer's dementia, anxiety, depression and schizophrenia. Resident #5 had a physician's order for Lorazepam (used to treat anxiety) 0.5 milligrams every two hours as needed for anxiety, which was started on 9/18/20. The end date was noted as indefinite. (Photographic evidence…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-11-10 · tag F0825 — isolatedProvide or get specialized rehabilitative services as required for a resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure residents who required restorative services to assist with carrying out activities of daily living, received those services. Specifically, the facility failed to ensure one (Resident #50) of three residents reviewed for activities of daily living (ADLs), from a total of 30 sampled residents, received appropriate restorative assistance with dining. The findings include: A review of Resident #50's medical record, revealed she was initially admitted to the facility on [DATE], and then readmitted on [DATE]. Her primary diagnosis was lack of coordination. Secondary diagnoses included chronic obstructive pulmonary disease, dementia with behavioral disturbance, anxiety, muscle weakness, mild protein-calorie malnutrition, anorexia, and a need for assistance with personal care. The 10/26/21 minimum data set (MDS) assessment documented a brief interview for mental status (BIMS) score of 0 out of a possible 15 points, indicating severe…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-11-10 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of resident records and interviews with staff, the facility failed to ensure accurate documentation of psychotropic medication administration for one (Resident #5) of six residents reviewed for unnecessary and psychotropic medications, from a total of 30 residents in the sample. The findings include: A record review for Resident #5 revealed she was [AGE] years old. She had diagnoses including non-Alzheimer's dementia, anxiety, depression and schizophrenia. Resident #5 had a physician's order, dated 9/18/20, for Lorazepam (used to treat anxiety) 0.5 milligrams (mg) every two hours as needed for anxiety. (Photographic evidence obtained) A review of the Medication Administration Records (MAR) and corresponding Narcotic Count Sheets for Resident #5 identified discrepancies on the following dates: On May 6, 2021, May 14, 2021, and May 19, 2021, the MAR was signed by a nurse indicating one dose of Lorazepam was administered to Resident #5 on each of those days, however, the corresponding Narcotic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-11-10 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, a review of resident records, and a review of facility policies and procedures, the facility failed to maintain a current hospice plan of care in the resident records for one (Resident #5) of two residents reviewed for hospice services, out of four residents receiving hospice, from a total of 30 residents in the sample. The findings include: An interview was conducted with Resident #5's hospice certified nursing assistant (CNA) on 11/09/21 at 11:35 a.m. after she emerged from Resident #5's room. She stated she came in to see Resident #5 twice a week to provide patient care, showers, bed baths and range of motion exercises. Some mornings she assisted with breakfast if Resident #5 was still in bed, as she needed help if eating in bed. After the hospice CNA provided care, she said she documented that and gave the notes to the hospice provider. Licensed Practical Nurse (LPN) K was interviewed on 11/09/21 at 11:29 a.m. She confirmed Resident #5 was on hospice and that the hospice nurse was just in yesterday. The CNA also came in 2 times a week and as needed.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$25,723 in federal fines across 8 penalties.
- $3,529 — penalty dated 2023-10-30
- $3,176 — penalty dated 2023-10-23
- $2,823 — penalty dated 2023-10-17
- $2,447 — penalty dated 2023-10-10
- $2,098 — penalty dated 2023-10-02
- $4,194 — penalty dated 2023-09-11
- $3,728 — penalty dated 2023-08-29
- $3,728 — penalty dated 2023-08-29
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to AVIATA HEALTH GROUP — 50 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.4 | -0.4 vs chain |
| Health inspection | 2 of 5 | 2.0 | ≈ chain avg |
| Staffing | 2 of 5 | 2.7 | -0.7 vs chain |
| Quality measures | 3 of 5 | 4.1 | -1.1 vs chain |
The other 49 homes this chain runs (chain average 2.4★, per CMS)
Showing 40 of 49; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| REED PARENT LLC | Organization | DIRECT OWNERSHIP INTEREST | since 09/01/2023 |
| SOUTH DAYTONA HOLDCO LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 09/01/2023 |
| FREUND, NOCHUM | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2023 |
| HEISE, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/25/2024 |
| KNIGHT, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/20/2024 |
| DAGAN, AMITAI | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/10/2025 |
| GOLDBERGER, ABRAHAM | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/10/2025 |
| GOLDBERGER, FAIGY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/10/2025 |
| HERSKOWITZ, ELIEZER | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/10/2025 |
| HERSKOWITZ, YAAKOV | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/10/2025 |
| TRAVITSKY, AARON | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/10/2025 |
| ASPIRE MGT LLC | Organization | ADP OF THE SNF | since 09/01/2023 |
CMS files one row per role, so the 15 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
3 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.
About 70% 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 $31K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105665. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-14, 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.