Vista Manor Healthcare And Rehabilitation Center

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

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.

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: 56.0% 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 75 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 0.16 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% 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.

Staffing

How full it usually is: this home is certified for 120 beds and averages 111.8 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 3.14 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 3.03 hrs/resident/day on weekends vs 3.18 on weekdays — 5% thinner on weekends. RN hours go from 0.43 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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.

29 citations, most serious first. The 16 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · J2026-04-18 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 coordinate, communicate, and document the change in diabetic treatment plan for a chronically ill resident who required a surrogate for decision making, (#1). This affected 1 out of 8 diabetic residents whose treatment plans were reviewed, out of 43 residents in the facility with a diagnosis of diabetes. Resident #1 and her representative were not informed of the risks associated with not receiving diabetic care and were not given the choice to make an informed decision on the treatment plan. The failure in care coordination resulted in lack of diabetes care and monitoring according to resident/family wishes for 48 days, during which the resident developed sepsis and Hyperosmolar Hyperglycemic State (HHS), a life-threatening condition that could lead to organ failure, coma or death. The resident required emergency 911 transfer to the hospital and admission to the Intensive Care Unit (ICU), for 3 days.HHS is a life-threatening complication…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2026-04-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect 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 observation, interview, and record review, the facility's Interdisciplinary Team (IDT) failed to protect the resident's right to be free from neglect by failing to identify the need for a diabetic treatment plan for a type II diabetic resident with a history of uncontrolled diabetes, chronic kidney disease, and recurrent urinary tract infections which placed her at a high risk for decline, (#1). This affected 1 out of 8 diabetic residents whose treatment plans were reviewed, out of 43 residents in the facility with a diagnosis of diabetes. This failure resulted in a lack of proper blood glucose monitoring and treatment for 48 days, during which resident #1 developed sepsis and Hyperosmolar Hyperglycemic State (HHS), a life-threatening condition that could lead to organ failure, coma or death. The resident required emergency 911 transfer to the hospital and admission to the Intensive Care Unit (ICU), for 3 days.On 3/17/26, resident #1 was found with severe hypoxia, cold, clammy skin, pallor, and a blood…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2026-04-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to coordinate and communicate effectively among the interdisciplinary team to ensure diabetic residents received continuity of care in accordance with professional standards of practice, the care plan, and resident choice to attain or maintain their highest practicable physical, mental and psychosocial wellbeing, (#1). This failure in care coordination resulted in a lack of proper blood glucose monitoring and treatment for 48 days, during which resident #1 developed sepsis and Hyperosmolar Hyperglycemic State (HHS), a life-threatening condition that could lead to organ failure, coma or death. The resident required emergency 911 transfer to the hospital and admission to the Intensive Care Unit (ICU), for 3 days. This affected 1 out of 8 diabetic residents whose treatment plans were reviewed, out of 43 residents in the facility with a diagnosis of diabetes.On 3/17/26, resident #1 was found with severe hypoxia, cold, clammy skin, pallor, and a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2026-04-18 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) program effectively identified and addressed a systemic process failure related to coordination, communication, and continuity of care for a resident requiring diabetes management. Following a resident's hospitalization for complications related to not receiving diabetic treatments for 48 days, the facility failed to immediately identify the factors that contributed to the resident's decline. Approximately three months later, after the survey team identified the incident, the QAPI committee initiated a Performance Improvement Plan (PIP) that lacked documentation and root cause.On 3/17/26, resident #1 was found with severe hypoxia, cold, clammy skin, pallor, and a blood glucose finger stick reading high, that indicated it exceeded the device's measurement capabilities. Resident #1 had a diagnosis of type II diabetes but had not been monitored or treated since her re-admission on [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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-04-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent an avoidable fall with fracture for 1 of 3 residents reviewed for falls, of a total sample of 8 residents, (#1). Findings:Record review revealed resident #1 was an [AGE] year-old female, admitted to the facility on 1/19/26 for hospice respite care and discharged [DATE]. On 1/28/26, resident #1 was admitted to the facility for long term care. On 3/17/26 resident #1 was admitted to the hospital's Intensive Care Unit with diagnoses of critically high blood sugar, sepsis, pneumonia and a heart attack. On 3/20/26, resident #1 was readmitted to the facility for long term care. The 5 Day Medicare Minimum Data Set (MDS) dated [DATE] noted a Brief Interview for Mental Status (BIMS) score of 13 out of 15 which indicated the resident's cognition was intact. Review of the Activities of Daily Living (ADL) section of the assessment indicated the resident had no impairment of her arms or legs and needed set-up and clean-up assistance for eating…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-11-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to promote freedom from an accident hazard, the provision of hot coffee without verifying a safe temperature and/or ensuring the use of appropriate cups, for 3 of 5 residents reviewed for accidents, (#1, #4, and #5); and failed to prevent a burn injury for 1 of 3 residents reviewed for skin injuries, (#1), out of a total sample of 5 residents. The facility's failure to identify the untested temperature of hot coffee as a hazard which posed a risk for burns for residents with cognitive and/or physical impairments resulted in actual harm for resident #1 and placed all residents who received untested hot coffee at risk. Resident #1, a physically and cognitively impaired resident, received hot coffee in a Styrofoam cup and accidentally spilled the liquid on his leg. He suffered blisters and full-thickness skin loss, characteristics of second and third-degree burns, that placed him at risk for infection, a disfiguring scar, and decreased mobility. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to promote a dignified existence related to standing over a resident while assisting with eating for 1 of 1 resident reviewed for dignity, out of a total sample of 40 residents, (#9).Findings: Resident #9 was admitted to the facility on [DATE] with diagnoses including dysphagia, hemiplegia and hemiparesis, need for assistance with personal care, and major depressive disorder. Review of the Quarterly Minimum Data Set assessment with assessment reference date of 3/26/26 revealed resident #9 had a Brief Interview for Mental Status (BIMS) score of 06/15 which indicated she had severe cognitive impairment. The assessment indicated she had impairments to her upper and lower extremities on both sides and was dependent on staff for eating. During meal observation on 4/06/26 at 12:34 PM, resident #9 was in bed with the head of the bed elevated. Her meal tray was located on her overbed table positioned on the left side of the bed. Certified Nursing Assistant (CNA) B…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure coordination of Level I Preadmission Screening and Resident Review (PASRR) findings with the resident assessment process to identify, communicate, and incorporate a diagnosis of Post-Traumatic Stress Disorder (PTSD) into the resident's assessment documentation for 1 of 1 resident reviewed for PASRR, resident #4, from a total sample of 40 residents.Review of resident #4's medical record revealed the initial PASRR dated 11/24, did not identify a diagnosis of Post-Traumatic Stress Disorder (PTSD).Review of resident #4's record further revealed an updated PASRR completed on 4/07/2026, documented as PASRR UPDATED.pdf, which identified a diagnosis of PTSD and required update to the resident's assessment documentation.The record also showed an annual Minimum Data Set (MDS) assessment dated [DATE] that included a diagnosis of Post-Traumatic Stress Disorder (PTSD). The PASRR was not updated to reflect this diagnosis until April 2026.The record included 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop and/or revise a comprehensive, person-centered care plan to address a diagnosis of Post-Traumatic Stress Disorder (PTSD) for 1 of 1 resident reviewed for care planning of a total sample of 40 residents, (#4).Resident #4 was admitted to the facility on [DATE] from an acute care hospital.A psychiatric evaluation dated 2/20/25 identified PTSD as part of the resident's mental health diagnoses. Behavioral health progress notes dated 3/28/25, 7/14/25, 7/31/25, 8/21/25, 9/17/25, 9/23/25, 10/1/25, 10/14/25, and 10/28/25 documented a diagnosis of Post-Traumatic Stress Disorder (PTSD). A comprehensive Minimum Data Set (MDS) assessment dated [DATE], a quarterly MDS assessment dated [DATE], and a quarterly MDS assessment dated [DATE] identified PTSD in Section I (Active Diagnoses).Review of resident #4's care plans revealed no care plan for trauma until 4/08/26.On 4/8/26 at 10:13 AM, the Social Services Director stated the PTSD diagnosis was present in the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a physician's order was obtained prior to the administration of oxygen therapy for 1 of 1 resident reviewed for oxygen (O2) therapy out of a total sample of 40 residents, (#89).Findings: Resident #89 was admitted to the facility on [DATE] with diagnoses of respiratory failure with hypoxia, chronic obstructive pulmonary disease, congestive heart failure, and dependence on supplemental oxygen. On 4/06/26 at 8:47 AM, the resident was observed in bed with a nasal cannula that delivered oxygen (O2) at 2.5 liters per minute (L) . He commented that he just got back from the hospital the previous night. He said he was there for shortness of breath, swollen legs and pneumonia. A review of resident #89's medical record revealed there was no physician's order for oxygen. The Minimum Data Set from 3/18/26 indicated he was cognitively intact, dependent on staff for moderate assistance, and used continuous oxygen. A care plan for resident #89…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-15 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  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 waste was properly contained in a covered dumpster and the garbage storage area was maintained in a sanitary condition to prevent pests. This had the potential to affect all 118/118 residents residing at the facility. Findings: On 5/15/25 at approximately 9:30 AM, during the inspection of the garbage disposal area with the Dietary Services Manager, there were white and black package wrapping materials and other debris littered on the ground around the dumpster. In addition, both the dumpster lids were left open. The Dietary Services Manager confirmed the dietary department was responsible to keep the area around the dumpster clean of debris but was unsure who was responsible to ensure the lids on the dumpster were kept closed. She stated it was important to keep this area clean and the lids closed to keep wildlife and/or pests from the dumpster which could bring germs and disease into the facility. On 5/15/25 at 1:05 PM, the Dietary Services Manager and the Regional Manager along with the Environmental…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure food was prepared and served to residents at appropriate temperatures, failed to ensure staff performed appropriate hand hygiene during food handling, including with glove use during the preparation of food and handling of clean dishware. These failures had the potential to affect the 113/118 residents who ate food by mouth at the facility. Findings: 1. Resident #1 was admitted to the facility on [DATE] with the diagnoses that included Diabetes Mellitus, type II; disorder of bone density and structure, depression, hypertension and deficiency of B-vitamins. On the quarterly Minimum Data Set (MDS) dated [DATE], her Brief Interview for Mental Status (BIMS) score was determined to be 8/15, which indicated moderate cognitive impairment. On 5/15/25 at 10:20 AM, resident #1 stated the food was sometimes cold when the residents received it. She explained she was tired of being served cold eggs, so she asked to not receive eggs any longer. On 5/15/25 at 9:20 AM, during the initial kitchen…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-15 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to reasonably accommodate the needs and preferences of a resident by providing only crackers for snacks on a routine basis, even after the resident requested a more substantial alternative. This affected one of two sampled residents, of a total sample of 113 residents who ate food at the facility, (#2). Findings: Resident #2 was a [AGE] year-old man admitted on [DATE] with diagnoses of anemia, depression, anxiety, chronic pain, gastro-esophageal reflux disease and chronic kidney disease, stage two. Review of the admission Minimum Data Set (MDS) dated [DATE], resident #2 had intact cognitive abilities. On 5/15/25 at 10:32 AM, resident #2 stated he had requested an evening snack every night so far at the facility and received some form of cracker; saltines, graham crackers, or goldfish. He said only once was he provided with anything more substantive, a peanut butter and jelly sandwich. He relayed that once when he asked for something more, a staff member gave him their own personal cookie…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-05 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to implement its abuse and neglect prohibition policy and procedures related to conducting a thorough investigation of an injury of unknown origin to rule out neglect, to determine if reporting was necessary, and to ensure the safety of 1 of 3 residents reviewed for skin injuries, out of a total sample of 5 residents, (#1). Findings: On 11/01/24 at 2:19 PM, and 11/08/24 at 3:06 PM, in telephone interviews, resident #1's sister stated on 10/02/24, she received notification from the facility that her brother had an extensive skin injury on the back of his thigh. She explained she was not able to visit until about nine days later, and when she spoke with her brother, he told her he accidentally spilled hot coffee on his leg. The resident's sister stated the hot liquid was provided in a Styrofoam cup instead of a cup with a handle which he needed due to his contracted fingers. She recalled she spoke to the Minimum Data Set Coordinator by telephone on…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-05-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain oxygen flow rates as ordered by the physician for 2 of 2 residents reviewed for respiratory care from a total sample of 35 residents, (#100, #366). Findings: 1. Review of the medical record revealed resident #100 was admitted to the facility on [DATE] from the hospital. His diagnosis included chronic obstructive pulmonary disease (COPD), chronic respiratory failure, type 2 diabetes, unspecified dementia, need for assistance with personal hygiene care, and dependent on supplemental oxygen. Resident #100's admission Minimum Data Set (MDS) with an assessment reference date of 4/12/24 revealed the resident scored 7 out of 15 on the Brief Interview for Mental Status (BIMS) which indicated he had severely impaired cognitive skills for daily decision making. The MDS assessment noted the resident received oxygen therapy and required moderate assistance from staff for transfers, personal hygiene care, dressing, bathing, and toileting…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-05-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, and interview, the facility failed to ensure staff donned facial hair restraints correctly and failed to ensure dishware was allowed to air dry before storing. Findings: On 5/16/24 at 11:45 AM, the facility's lunch tray line was observed. The Dietary Aide at the end of the line had his facial hair restraint below his bottom lip and his mustache was exposed. He received plates of food from the cook and placed them on a tray while he conversed with his co-workers. When asked why his hair restraint did not cover his mustache, he replied, I forgot. Neither the cook, who was directly across from the Dietary Aide or the Area Manager explained why they had not instructed the Aide to correctly don the facial hair restraint. During kitchen inspection on 5/16/24 at 2:24 PM, the facility's cookware and serveware were observed. A metal storage rack, with various sizes of pans and cookware was noted next to the three compartment sink. There were 5 large hotel pans, 6 inches deep, that were stacked on top of each other. The pans were noted to be wet (wet nesting). The…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

$13,335 in federal fines across 2 penalties.

• $4,017 — penalty dated 2024-11-05
• $9,318 — penalty dated 2024-11-05

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.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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 $183K 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