Trinity Regional Rehab Center

Location & what’s nearby

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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.

55.3% 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 372 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 37.9% 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 198 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 0.49 therapist hours per resident per day in 2026Q1 — more than 80% of the 13,892 homes that report any therapy hours at all.

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

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

Staffing

How full it usually is: this home is certified for 120 beds and averages 108.1 residents a day — about 90% occupied, or roughly 12 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 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.28 hrs/resident/day on weekends vs 3.57 on weekdays — 8% thinner on weekends. RN hours go from 0.49 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 48% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

18 citations, most serious first. The 13 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · J2026-02-12 · 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 observations, interviews and record review, the facility failed to protect the residents' right to be free from neglect by failing to respond to an exit door alarm and provide supervision to prevent an elopement for one (Resident #1) out of three residents sampled. On 1/11/26, approximately 2:15 p.m., Staff F, Certified Nursing Assistant (CNA), discovered Resident #1 was not in his room. At 2:15 p.m., a Dr. Walker (code announced overhead to indicate a potential missing resident) was called in the facility. Resident #1 exited the facility without staff knowledge from the second-floor hallway next to the Maintenance Directors office into the stairwell leading to the first floor. Resident #1 proceeded down the stairs to the first floor through an unlocked door with no alarm. Resident #1 walked to another door, next to the business office, and proceeded to exit this alarmed door to the parking lot. Resident #1 continued walking North through the parking lot to a road with a 30 mile per hour (mph) speed…

  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 before2026-02-12 · 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 observations, interviews and record review, the facility failed to provide adequate supervision to one resident (Resident #1) who was cognitively impaired and identified as an elopement risk, from exiting the facility out of three residents sampled. On 1/11/26, approximately 2:15 p.m., Staff F, Certified Nursing Assistant (CNA), discovered Resident #1 was not in his room. At 2:15 p.m., a Dr. Walker (code announced overhead to indicate a potential missing resident) was called in the facility. Resident #1 exited the facility without staff knowledge from the second-floor hallway next to the Maintenance Directors office into the stairwell leading to the first floor. Resident #1 proceeded down the stairs to the first floor through an unlocked door with no alarm. Resident #1 walked to another door, next to the business office, and proceeded to exit this alarmed door to the parking lot. Resident #1 continued walking North through the parking lot to a road with a 30 mile per hour (mph) speed limit and headed to…

  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 · G2025-05-01 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  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 honor a resident's right to a safe, orderly, and planned discharge for one (#1) of one resident discharged while an appeal was pending. Findings Included: During a telephone interview on 05/01/2025 at 2:32 p.m., Resident #1 stated she was discharged from the facility on 04/29/2025 while awaiting a hearing discharge. She stated she called to file the appeal on what she thought was the 10th day, but the facility told her she filed the appeal on the 11th day and would still be discharged home. The resident stated she was not ready to come home and could not afford to pay her portion of the bill. She stated she could not go home without a sit- to stand lift which she required for transfers. Resident #1 stated she was still waiting for an upright walker because she cannot really stand. She stated she was incontinent and could not access her bathroom at her house due to it being too small. Resident #1 stated she had been forced to wear adult briefs and 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-11-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interviews the facility failed to ensure four kitchen staff members (Certified Dietary Manager, A, B, and C) wore hairnets, beard guards and gloves in accordance with professional standards for food service safety, in one of one kitchen observed. Findings included: During the initial tour of the kitchen on 11/18/24 at 9:05 a.m., Staff A, [NAME] was observed with uncovered facial hair, standing over a pot on the stove stirring the contents with no beard guard in place. An additional observation at this time revealed the Certified Dietary Manager (CDM) standing at a prep table with no hairnet in place. During an interview on 11/18/24 at 9:05 a.m. the CDM stated she was just at morning meeting and she came straight to the kitchen and began working. The CDM stated she just forgot to put a hairnet on after the morning meeting. The CDM stated Staff A, [NAME] should have a beard guard on. An observation on 11/18/24 at 4:15 p.m. showed Staff B, Dietary Aide (DA) with facial hair standing over a large metal bowl with no beard guard in place. During an…

  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 · E2024-11-21 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility did not ensure prompt efforts were made to resolve grievances for Resident Council for four months (June, July, October and November 2024) of six months reviewed. Findings included: Review of the Resident Council Meeting Minutes, dated June 4, 2024 revealed: Old Business a concern relating to CNAs (Certified Nursing Assistant) wanting more aides on the floor during mealtimes, especially weekends. Under the section New Business, the following was documented: CNA - weekends aids [sic] need to be on the floor more - call light takes more time during the lunch time. Review of the Resident Council Meeting Minutes, dated July 2, 2024, revealed: Old Business a concern relating to call lights take more time during the lunch time. Under the section New Business, the following was documented: CNAs are busy. Sometimes they say Just a minute, but it takes much longer. Review of the Resident Council Meeting Minutes, dated October 11, 2024, revealed under the section New Business the following: Call lights not being answered, mostly…

  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 · E2024-11-21 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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 ensure four residents (#413, #42, #263, and #264) of four residents reviewed for wound care concerns received wound care treatment in accordance with professional standards of practice. Findings included: 1. An observation and interview was conducted with Resident #413 on 11/20/24 at 1:30 p.m. Resident #413 was observed sitting in a chair dressed in day clothes next to her bed. A gauze dressing was observed on her left lower leg with a date of 11/16. The resident stated, The dressing hasn't been changed in four days and it is supposed to be changed every other day. Every time I ask about it, the nurse tells me the next shift will do it. Review of Resident #413's admission Record revealed the resident was admitted to the facility on [DATE] and had diagnoses of congestive heart failure, and non-pressure chronic ulcer of left calf. Review of Resident #413's progress note - Brief Interview for Mental Status (BIMS) evaluation, dated 11/11/24,…

  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 before2024-11-21 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. An observation of Resident #59's room on 11/18/24 at 11:11 a.m., revealed 11 packets of peri-care ointment, 5 grams each, laid on top of a nightstand. An interview was conducted following the observation with Resident #59. Resident #59 stated he was unaware the ointments were left on the nightstand. Review of the admission Record showed Resident #59 was re-admitted to the facility on [DATE]. There were no medication self-administration assessments found in Resident #59's medical record. The Order Summary Report showed no orders for Resident #59 to self-administer his own medications. Based on observations, interviews, and policy review, the facility failed to ensure medication was stored appropriately in four resident rooms out of thirty-six resident rooms sampled, in three medication carts out of five facility medication carts, and one medication storage room out of two facility medication storage rooms. Findings included: 1. An observation and interview was conducted on 11/20/24 at 9:09 a.m. with Staff E,…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-21 · 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 implement safety precautions for smoking supplies for one resident (#52) of one sampled resident for smoking. Findings included: On 11/18/2024 at 11:47 a.m. Resident #52 was observed in her room sitting in her wheelchair, with an electronic monitoring device on her right ankle and her purse next to her with cigarettes and a lighter. Resident #52 stated she was a smoker and is able to go smoke with the activity department at specific times of day. On 11/18/2024 at 4:12 p.m. Resident #52 was observed sitting in a wheelchair being escorted to the second-floor elevator. The resident had cigarettes and a lighter in her purse next to her in the wheelchair. Review of the admission Record revealed Resident #52 was admitted to the facility on [DATE]. Review of Resident #52's Minimum Data Set (MDS) assessment, dated 10/9/2024, Section C- Cognitive Pattern, revealed a Brief Interview for Mental Status (BIMS) score of 11/15, which meant 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0694 — isolated
  Provide 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 observations, interviews, and record review, the facility failed to ensure a central line dressing was changed as ordered for one resident (#33) out of four residents sampled. Findings included: On 11/19/24 at 10:46 a.m., an observation was made of Resident #33's peripherally inserted central catheter (PICC) dressing, dated 10/27/24. Resident #33 stated he was getting an intravenous antibiotic for an infection but could not state where the infection was. On 11/20/24 at 8:40 a.m. an observation was made of Resident #33's PICC dressing with a remnant of a sticker on the clear dressing. Resident #33 stated he did not know what happened to the dressing. On 11/20/24 at 10:45 a.m. an observation was made of Resident #33's PICC dressing with the same remnant of a sticker on the clear dressing, but a date of 11/20 written in a green marker with identified initials. A review of Resident #33's admission Record showed an initial admit date of 11/2/2021, with a readmission date of 10/10/2024. A review of the admission Record showed Resident #33 diagnoses not limited to encounter 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to accommodate food preferences for two residents (#90 and #263) of six sampled residents. Findings included: 1. On 11/18/2024 at 11:51 a.m. Resident #90 was observed sitting in front of the lunch meal. Resident #90's meal ticket showed, NO RICE, No POTATO, NO PACAKES [sic] NO WAFFLES NO FRENCH TOAST DOUBLE VEGGIES!!! Resident #90 had rice on the plate. Resident #90 refused to eat the rice, and no other options were provided. During an interview on 11/18/2024 at 11:51 a.m. Resident #90 stated, I never get what I am supposed to get. Resident #90 continued to state, It doesn't matter how many times I tell people, they just send what they want. I have lost weight while I am here, I have protein shakes brought in to ensure I receive the protein I need for my diagnosis. On 11/20/2024 at 1:50 p.m. Resident #90 was observed sitting in front of the lunch meal. Resident #90's meal ticket showed, NO RICE, No POTATO, NO PACAKES [sic] NO WAFFLES NO…

  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 · D2024-11-21 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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 policy review, the facility did not ensure appropriate infection control practices on two of two units related to respiratory equipment being left uncovered for one (#103) of one resident sampled for respiratory concerns, an ice scoop left uncovered in a hall, handling of clean linens, cleaning of glucometers, and contact precautions for one (#263) of two residents sampled for transmission-based precautions. Findings included: 1. An observation and interview was conducted on 11/19/24 at 10:05 a.m. in the room of Resident #103. There was a respiratory mask sitting on the bedside table uncovered. The resident said she does not routinely get breathing treatments, only when needed. She said staff leave the respiratory mask on the table uncovered just like it is. Review of admission Record showed Resident #103 was admitted on [DATE] with diagnoses including chronic obstructive pulmonary disease and chronic respiratory failure with hypoxia. Review of Resident #103's Minimum Data…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-04-22 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews and record review the facility failed to provide three (#33, #43, and #114) of three residents sampled for hospitalizations with written notification and completed notification of transfers and failed to notify the State Long-Term Care Ombudsman Council (LTCOC) office of transfers. Findings included: An interview was conducted on 4/22/21 at 2:15 p.m. with the Social Service Director (SSD). The SSD reported that it was her responsibility to notify the State Office of the Long-Term Care Ombudsman of residents transfer or discharge and if she was being honest, up until you guys came I didn't know I was supposed to. She admitted to beginning her tenure with the facility in July 2020. At 1:58 p.m. on 4/22/21, the SSD stated the Nursing Home Transfer and Discharge Notices were her responsibility to complete if the resident discharges to home and nursing was responsible for them if the resident was being transferred to the hospital. On 4/20/21 at 3:47 PM, Staff Member A, Registered Nurse (RN), explained the procedure to sending a resident to the hospital. She…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-04-22 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews and observations, the facility failed to ensure four Residents (#26, #49, #64, #84) of four residents sampled received restorative nursing services in order to maintain their ability to perform activities of daily living. Findings Included: 1) During an interview on [DATE] at 2:22 p.m. Resident #26 stated he had not had a shower in 10 days and feels like he gets restorative nursing when he is in the shower but has not received the restorative nursing program he was told he would get. The resident stated he is not progressing forward and wants to go home but is not sure if that will be possible. Review of the care plan problem area dated [DATE] revealed the resident's ADL/restorative nursing program required active range of motion to bilateral upper extremity 6 days per week. Long term goal to increase strength for transfers and wheel chair mobility created on [DATE]. Approach date of [DATE] for bilateral upper extremity using 3 to 4 pound weight and green theraband, all planes…

  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

“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

$26,685 in federal fines across 1 penalty.

• $26,685 — penalty dated 2026-02-12

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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $834K 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