Excel Care Center
2811 Campus Hill Dr, Tampa, FL 33612 · For profit - Limited Liability company · 120 certified beds · (813) 979-9400 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- 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
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 2.2% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 7.4% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.3% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 7.5% | 4.6% | 6.5% | worse |
| 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 | 0.6% | 2.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 0.8% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 8.5% | 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 | 5.5% | 4.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 2.8% | 10.5% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.0% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.7% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 99.4% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.2% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 1.5% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.93 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.26 | 1.15 | 1.80 | better |
‡ 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.
53.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 83 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 68.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 152 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 0.68 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 24% 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 | 53.3%CMS range 42.2–66.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.3%CMS range 7.9–13.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 68.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 57.9% | 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 | 55.3% | 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 | 70.8% | 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 | 87.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.4% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.9% | 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 | 9.4%CMS range 5.5–13.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.39 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 112.0 residents a day — about 93% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.40 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 2.09 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 3.21 hrs/resident/day on weekends vs 3.48 on weekdays — 8% thinner on weekends. RN hours go from 0.56 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
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 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · E2025-12-03 · tag F0676 — failed to keep up residents' daily-living abilities — patternEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to ensure incontinent care was provided for four residents (#7, #8, #9, #10) out of five residents sampled. Findings Included: On 12/02/25 at 9:37 a.m., Resident #10 was observed and interviewed lying in bed waiting for incontinent care. Resident #10 stated they have been asking for help going to the bathroom all morning and most days they are left sitting in their wet incontinent product for long periods of time.Review of Resident #10's admission record revealed an admission date of 10/20/25, with diagnoses to include Parkinson's disease, diabetes mellitus, hypertension, dementia, anxiety, dizziness, and muscle weakness.A review of Resident #10's Minimum Data Set (MDS) dated [DATE] revealed: a brief interview for mental status (BIMS), a score of 6, meaning severe impairment. Functional Abilities, dependent for toileting hygiene and lower body dressing; partial/moderate assistance for toilet transfers. Bladder and Bowel revealed 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.
- Potential for harm · E2024-01-25 · 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 observation, interview and record review, the facility failed to store food under sanitary condition by not ensuring the walk-in refrigerator and the milk box cooler contained thermometers on the inside. This has the potential to affect 108 out of 116 residents who eat orally residing in the facility at the time of the survey. The findings included: Observation of the initial kitchen tour on 1/22/24 at 8:42 AM with the Certified Dietary Manager Dietitian (CDM) revealed the following: 1) Walk-in refrigerator temperature outside was 40 degrees F and for the inside temperature, there was no thermometer noted. The walk-in refrigerator contained dairy products, cheese, pasteurized eggs in the shell, liquid pasteurized eggs, milk, vegetables, fruits, and preparation lunch items and 2) Milk Box temperature inside, there was no thermometer noted. The milk box contained milk cartons. Record review of the facility's Food Storage Policy indicated: Cold Policy and Procedure (revision date October 2019); Policy Statement-It is the center policy to insure all Time/Temperature Control for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-25 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to complete the Discharge- Return Non-Anticipated Minimum Data Set (MDS) to Centers of Medicare and Medicaid (CMS) within 14 days for one (Resident # 103) out of one resident was discharged to the community who was investigated for Resident Assessment. This deficiency has the potential to affect 116 residents residing in the facility at the time of survey. The findings included: Record review of the clinical records for Resident #103 revealed the resident was admitted to the facility on [DATE] and was discharged home on [DATE]. Review of the Discharge-Return Non-Anticipated MDS assessment dated [DATE] was in progress. Section C and E-K were not completed. Interview with MDS Coordinator on 01/24/2024 at 12:17 PM. She stated that the assessment was not completed. She stated they did not realize the assessment was not completed until Tuesday January 23 when the system alerted them. She stated the assessment will be completed today. Further review after the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-25 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of 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 record review and interview, the facility failed to electronically transmit the Discharge- Return Non-Anticipated Minimum Data Set (MDS) to Centers of Medicare and Medicaid (CMS) within 14 days for one (Resident # 103) out of one resident whose Resident Assessments was investigated that was discharged to the community. There were 116 residents residing in the facility at the time of the survey. The findings included: Record review of the clinical records for Resident #103 revealed the resident was admitted to the facility on [DATE] and was discharged home on [DATE]. Review of the Discharge-Return Non-Anticipated MDS assessment dated [DATE] was completed and transmitted on 01/24/2024. Interview with MDS Coordinator on 01/24/2024 at 12:17 PM. She stated that the assessment was not completed in a timely manner. She stated they did not realize the assessment was not completed until Tuesday January 23 when the system alerted them. She stated the assessment will be completed and transmitted today. Follow up…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure the provision of a safe environment related to safety floor mats to prevent accidents in the event of a fall for one Resident (#83) out of 27 sampled residents. There were 116 residents residing at the facility at the time of the survey. The findings included: On 01/22/24 at 09:31 AM, during the initial observation Resident # 83 was in bed asleep, no distress noted, one fall mat was observed on the left side of bed and one safety floor mat was against the wall behind the head of the bed, (Photographic evidence available). On 01/23/24 at 09:15 AM Resident observed in bed awake watching television, call light on bed, one floor mat on left side of the bed on the floor, right side floor mat against the wall, behind the head of the bed, (Photographic evidence available). On 01/24/24 at 10:17 AM Resident #83 was observed seated in a wheelchair in the therapy room with therapist, no distress noted. During observation on 1/24/23 at 09:00…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-25 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review the facility failed to ensure pharmaceutical procedures were followed during medication administration. As evidenced by during medication administration the Registered Nurse signed off on Resident #2's medication as given before administering the medications for one out of four residents observed, and left the medication cart unlocked in the hallway during medication administration in Resident #2's room. There were 116 residents residing in the facility at the time of the survey. The findings included: On 1/23/24 at 9:35AM, during medication administration observation Registered Nurse (Staff A), prepared all the medications for administration to Resident #2, signed off all the medications as given on the Electronic Medication Administration Record, locked the computer and entered the room to give Resident # 2 the medications. Staff A entered the room, gave Resident #2 the medications and exited the room. On 1/23/24 at 9:43AM, the Surveyor apprised Registered Nurse, Staff A that she was observed signing off on Resident's #2's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2021-10-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — patternProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to provide wound care in accordance with professional standards for two (#54, #21) of three residents sampled for pressure ulcers out of 11 total residents with pressure ulcers related to failure to change Resident #54's dressings daily as ordered for two of four days, failure to provide positioning and offloading for wound healing for Resident #54, and failure to ensure weekly wound measurements were taken for Resident's #54, and #21. Findings Included: 1. Review of Resident #54's admission Record revealed an admission date of 9/3/21 and admitting diagnoses to include type 2 diabetes mellitus, paraplegia, pressure ulcer left hip unstageable, pressure ulcer of right buttock stage 4, pressure ulcer of right heel unstageable, pressure induced deep tissue damage of right heel, pressure ulcer of left heel, unstageable, pressure induced deep tissue damage of left heel, and pressure ulcer of other site stage 4. Review of the physician progress note dated 9/16/21 at 9:24 p.m. detailed the chief complaint 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.
- Potential for harm · Dcited before2021-10-14 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide care and treatment in accordance with professional standards of practice, the plan of care, and physician orders for four (#91,#28, #79, #43) of 41 sampled residents related to removal of surgical staples as ordered for Resident #91, weekly weights as ordered for Resident #28, administration of ordered medication for a non-pressure related skin condition for Resident #79, and lack of modification to the medication schedule to accommodate for scheduled dialysis for Resident #43. Findings included: 1. Review of the admission Record for Resident #91 revealed an initial admission date in 2016, a most recent hospital stay of 9/28/21 to 10/5/21, a most recent re-admission date of 10/5/21, and a diagnosis to include unspecified fracture of Left femur and subsequent encounter for closed fracture with routine healing dated 9/23/21. A review of a physician progress note, dated 10/6/21 at 1:00 p.m., identified that Resident #91 was readmitted…
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 · D2021-10-14 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure physician orders were received for monitoring and care of an intravenous (IV) site for one (#54) of one resident sampled for intravenous (IV) care out of two facility residents receiving IV therapy. Findings included: Review of Resident #54's admission Record revealed an admission date of 9/3/21 and admitting diagnoses to include multiple pressure ulcers and two pressure induced deep tissue damaged areas. Review of wound culture 1 dated 9/26/21 and reported on 9/30/21 revealed gram positive cocci, staphylococcus aureus (isolate1) penicillin resistant staphylococcus aureus (MRSA) isolated, moderate growth, gram negative rods, Proteus mirabilis, providencia stuartii. Review of physician orders revealed the following orders dated 9/30/21: Ok to insert midline for IV antibiotic therapy x 10 days may use lidocaine 1% for insertion and Ceftriaxone sodium solution 1 gram Intravenous every 24 hours for 10 days for multiorganism wound infection. No additional orders were present related to the IV. On 10/12/21…
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 · E2020-01-31 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview policy, and record review, the facility failed to promote dignity and respect during the dining experience in the main dining room for ten (#s 20, 22, 23, 27, 39, 40, 43, 49, 101, and 211) of 52 sampled residents, during two (1/28 and 1/30/20) of four survey days, and in two (400 and 500) hallways and did not ensure that resident council members felt respected by staff during dining. Findings Included 1. An observation was conducted in the main hallway outside of the main dining room, on 1/28/20 at 12:04 p.m. A CNA was observed wheeling Resident #49 toward the area outside of the dining room. Four residents were observed to already be seated in wheelchairs in that area. The Director of Nursing (DON) was observed to stop Resident #49, and in front of four residents and the surveyor, ask the resident if he could come shave this stuff off your chin after lunch while pointing to the chin area of her face. Resident # 49 was observed to have visible hair growth on her chin. The 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.
Show the remaining 12 citations
- Potential for harm · E2020-01-31 · tag F0760 — failed to prevent significant medication errors — patternEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, and policy review the facility did not ensure residents were free from significant medication errors, for 3 residents (#5, #33 and #100) of 11 residents observed during medication administration or reviewed for unnecessary medications. Findings Included: 1) Review of the record for Resident # 5 revealed that he was admitted to the facility on [DATE] with diagnoses which included Type II Diabetes Mellitus without Complications. Review of Physician orders on the Order Summary Report revealed an order dated 12/17/19 for Humulin R U-500 Kwik-Pen Solution Pen -Injector 500 Unit/ML: Inject 90 unit subcutaneously with meals related to Type II Diabetes Mellitus without complications . Resident # 5 also had a physician's order, dated 11/13/19 for Novolog Solution 100 Unit/ML (Insulin Aspart): Inject 20 units subcutaneously before meals related to Type 2 Diabetes Mellitus without complications. Hold for blood sugar less than 200. Review of Resident # 5's Medication…
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 · D2020-01-31 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, it was determined that the facility did not ensure that one (#22) of fifty two residents reviewed was provided the right to make choices regarding her dining experience. Findings include: On 1/28/20 between 12:23 p.m. and 12:27 p.m., Resident #22 was observed to be seated at a table with another resident across from her. A placemat, silverware and napkin were observed on the table in front of her. An unknown dietary staff person was observed to approach Resident #22, pick up her placemat, silverware and napkin, and, in a loud voice heard by the surveyor across the room, stated to Resident #22, you don't eat here, your tray is in your room. She left Resident #22 seated at the table with no place setting. Resident #22 propelled herself up to another table which had a place setting. A lunch meal was eventually provided to Resident #22. Resident #22 was observed to independently eat her lunch meal. An interview was conducted with Resident #22 at 12:39 p.m. She stated she wants to eat in the dining room. On 1/30/20, at 11:47 a.m., Resident #22 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 · D2020-01-31 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review and staff interview, it was determined that the facility did not ensure that the plan of care was followed related to Diabetes Mellitus, Type II, for one of five residents reviewed for unnecessary medications (#5). Findings Include: Review of the admission Record for Resident # 5 revealed that he was admitted to the facility on [DATE] with diagnoses which included Type II Diabetes Mellitus without Complications. Review of Physician orders on the Order Summary Report revealed an order, dated 12/17/19, for Humulin R U-500 Kwik-Pen Solution Pen-Injector 500 Unit/ML: Inject 90 unit subcutaneously with meals related to Type II Diabetes Mellitus without complications . Resident # 5 also had a physician's order, dated 11/13/19 for Novolog Solution 100 Unit/ML ( Insulin Aspart): Inject 20 units subcutaneously before meals related to Type 2 Diabetes Mellitus without complications. Hold for blood sugar less than 200. Review of a care plan with a focus of Is at risk for complication related…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2020-01-31 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, interviews, and policy review the facility failed to provide care and treatment in accordance with professional standards of practice for two(#34, #108) of 53 residents reviewed in regards to 1) not ensuring physician's orders were obtained for care and services for a urinary catheter, a nephrostomy tube, and a midline IV(intravenous) line and 2) failing to identify and obtain orders to treat a skin tear. Findings included: Resident #34 was readmitted to the facility on [DATE] with a diagnosis of neuromuscular dysfunction of the bladder and sepsis, according to the face sheet in the admission record. A review of the MDS (Minimum Data Set) assessment dated [DATE], Section H, bladder and bowel, indicated Resident #34 had an indwelling catheter. Upon review of the current physician's orders in the electronic medical record, no orders were found for catheter care. Review of the treatment administration record (TAR) for the month of January showed catheter care orders were 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 · Dcited before2020-01-31 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and medical record review the facility failed to ensure that a pressure injury for one (#103) out of four residents with a pressure injury were provided treatment without an active Physician order. Findings Included: On 1/30/2020 at 12:15 p.m. Resident #103 was observed lying in her bed and was receptive to an interview. She appeared comfortable and said she had received a pain medication. She indicated and was in agreement to the observation of her treatment to her pressure injury. LPN F walked over to the treatment cart that was positioned with the drawers facing inside the bedroom doorway entrance. She donned a clean pair of gloves and went to the left side of the resident bed. After the table was cleaned LPN F returned to the treatment cart and removed one package of calcium alginate pad 2 x 2-inch size, one 6 x 6 sterile adhesive bordered dressing, three normal saline ampules, five individual packaged gauze dressings, and two packages of skin preps. LPN F removed the dressing from the resident sacral area. The dressing was saturated 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.
- Potential for harm · D2020-01-31 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and medical record review, and policy review the facility failed to ensure that care was provided according to standards of practice for two (#277 & 29) out of ten residents with enteral tubing feedings who were not positioned appropriately to prevent possible aspiration. Findings included: 1. Resident #277 was admitted to the facility with a diagnosis of attention to gastrostomy, according to the facesheet in the admission record. On 1/28/20 at 4:53 p.m. an observation was conducted. Resident #277 was in his bed lying on his right side in a fetal position. The head of the bed was elevated less than 30 degrees. Resident #277 was huddled in the middle of the bed, with his body flat. A tube feeding was connected to Resident #277, running with Jevity 1.5 at 60 ml per hour. On 1/31/20 at 8:14 a.m. another observation was conducted. Resident #277 was in his bed with his eyes open. The head of the bed was down all the way. The tube feed was running at 60 ml per hour, and the tubing was connected to Resident#277. On 1/31/20 at 8:17 a.m. an interview 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 · D2020-01-31 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview, and policy review, the facility did not ensure acceptable practices were implemented during care of a tracheostomy for one resident (#267) of one resident observed for tracheostomy care and services. Findings included: Resident #267 was admitted to the facility on [DATE] with a diagnosis of respiratory failure, according to the face sheet in the admission record. A review of the physician's orders in the electronic medical record revealed the following information: 1/21/20 change inner cannula daily and prn (as needed) (size 4 DIC) as needed for tracheostomy 1/21/20 cleanse stoma daily with NS (normal saline) and and apply T-dressing if needed every shift Review of the TAR (Treatment Administration Record) dated 1/22/20 revealed the inner cannula change was not signed on the 1/22 or 1/ 23. On 1/30/20 at 2:20 p.m. an interview was conducted with the DON (Director of Nurses). He said yes, it should be signed every day. On 1/31/20 at 12:21 p.m. an observation 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 · D2020-01-31 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident interview, observation, record review and staff interview, it was determined that the facility did not ensure that consistent pain management was provided for one of fifty three residents reviewed ( # 165). Findings Included: An interview was conducted with Resident # 165, on 1/28/20 at 3:03 p.m. Resident # 165 stated he was in pain from a fractured knee and recent abdominal surgery. He stated the facility does not have his pain medications at times or it gets discontinued for a day or two then starts again. He stated he is in a lot of pain when he does not get his pain medication. Review of the record for Resident # 165 revealed that he was admitted to the facility for rehabilitation on 1/9/20. Diagnoses included Displaced comminuted fracture of left patella, Acute embolism and thrombosis of left popliteal vein. His diagnoses in physician notes also indicated recent Right Iliofemoral and profunda femoris endarterectomy with angioplast and Left iliofemoral endarterectomy and angioplast and aorto-bifemoral bypass. Review of care plans for Resident # 165 revealed 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 · D2020-01-31 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, policy review, and manufacturer's instructions the facility did not ensure that the medication error rate was below 5% for three (#5, #33, and #100) of six sampled residents who were administered medications. This resulted in five errors from twenty-five medication administration opportunities, for a medication error rate of 20%. Findings included: 1. Resident #5 was admitted to the facility with a diagnosis of essential hypertension, according to the face sheet in the medical record. On 1/30/20 at 7:54 a.m. an observation was conducted with Staff F, LPN. Staff F, LPN prepared Resident #5's medications. Staff F, LPN said she could not find Resident #5's Allegra-D. Staff F, LPN poured a capful of Miralax into a plastic cup. Then Staff F, LPN poured water into a 30 ml medication cup. She poured the 30 ml of water into the Miralax powder. The surveyor read the instructions on the Miralax which indicated to mix it in 6-8 ounces of water. Staff F, LPN knocked on Resident #5's door after preparing all of his medications. Staff F, LPN…
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 · D2020-01-31 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and resident record review, it was determined that the facility did not ensure all staff were aware of adaptive equipment required during meals for one of fifty three residents reviewed (#101). Findings Include : On 1/30/20 at approximately 12:40 p.m. Resident # 101 was observed to be seated at a square table in the main dining room. A sippy cup was on the square table across from Resident # 101 near the middle of the table. The Administrator in Training (AIT) was observed to be serving beverages to residents in the dining room. She approached Resident # 101 and asked her what she would like to drink. Resident # 101 was heard to choose cranberry juice. There was no meal ticket or tray slip on the table. She was not observed to determine what consistency and in what form Resident # 101's beverages should be. The AIT was heard to say to Resident # 101 oh you don't have a cup, let me get you a cup. She then walked toward the kitchen area and returned with a regular drinking cup, poured cranberry juice into the cup and placed the cup in front of Resident # 101. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-01-31 · tag F0868 — isolatedHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record reviews the facility failed to implement their quality assessment and assurance measures for corrective action related to deficient practice identified on the annual survey conducted on 1/31/2020 Annual Survey. Continued non-compliance was identified for 2 (F810, F880) out of 12 deficiencies cited. Findings included: An annual survey was conducted on 1/31/2020 and deficient practice was identified at: F550, F561, F656, F684, F686, F693, F695, F697, F759, F760, F810, F880. A revisit to the annual survey was conducted on 3/04/2020 - 3/05/2020 and continued deficient practice was identified at: F810 and F880. A review of the facility's plan of correction for the recertification survey, ending 1/31/2020, revealed the following measures identified by the facility Quality Assurance Committee (QAC), would be taken to correct the deficient practice for F810 and F880. F 810: Resident #29 was given the correct consistency in her assistive device and the Administrator in Training was educated on the use of assistive devices and dignity. Other…
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 · D2020-01-31 · 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, record review, policy review, manufacturer's instructions, and CDC (Centers for Disease Control) guidelines the facility did not ensure appropriate infection practices were implemented related to 1) glucometer disinfection for two (#15 and #33) of two residents observed during glucometer use, and 2) the facility did not ensure appropriate personal protective equipment (PPE) was worn during care for one resident (#34), on contact precautions, and appropriate hand washing after exiting a contact isolation room for Resident #267, of two residents on contact isolation, and 3) the facility did not ensure staff wore gloves during eye drop administration for one (#89) of six residents observed during medication administration. Findings included: 1) Resident #15 was admitted to the facility with a diagnosis of type 2 diabetes mellitus, according to the face sheet in the admission record. On 1/28/20 at 5:03 p.m. an observation was conducted with Staff G, LPN during glucometer use. Staff G, LPN explained the procedure to Resident #15 placed the glucometer…
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
No federal fines in the current CMS record.
Part of a chain
This home belongs to FL SNF TRUST — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.2 | +0.8 vs chain |
| Health inspection | 3 of 5 | 2.6 | +0.4 vs chain |
| Staffing | 2 of 5 | 3.2 | -1.2 vs chain |
| Quality measures | 5 of 5 | 4.4 | +0.6 vs chain |
The other 9 homes this chain runs (chain average 3.2★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| EXCEL NURSING HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 08/01/2023 |
| FL MASTER OPCO HOLDCO II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2023 |
| FL SNF TRUST I | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2023 |
| FL SNF TRUST II | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2023 |
| KATZ, AHARON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2023 |
| RILEY, AMY | Individual | W-2 MANAGING EMPLOYEE | — | since 08/01/2023 |
| GARFINKEL, ALLAN | Individual | CORPORATE OFFICER | — | since 08/01/2023 |
4 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.
This home reported $10K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
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 105884. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-01-25, 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.