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Blue Heron Health And Rehabilitation

5085 Eagleston Blvd, Wesley Chapel, FL 33544 · For profit - Limited Liability company · 141 certified beds · (765) 664-5400 Medicare & Medicaid certified

Call the home — (765) 664-5400 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Jun 2026Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (18) — 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

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 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

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
5504 Gateway Blvd · (813) 251-8444 · Call to confirm hours
Pharmacy
5400 Hollybrook Plaza · (813) 907-1695 · Call to confirm hours
Grocery
27301 Wesley Chapel Blvd · (813) 994-5570 · Call to confirm hours
Park
3830 Turman Loop · (813) 358-7306 · Typically dawn to dusk
Place of worship
26940 Progress Pkwy · (813) 279-1259

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 4 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 2 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.3%8.7%15.4%better
Long-stay residents who lose too much weight1.2%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms5.7%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.2%2.5%3.3%worse
Long-stay residents whose ability to walk worsened5.6%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication25.9%14.4%18.9%worse
Long-stay residents given the seasonal flu vaccine96.1%99.2%95.3%typical
Long-stay residents with pressure ulcers4.9%4.5%4.7%typical
Long-stay residents with worsening bladder/bowel control23.5%10.5%21.2%worse than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table5.2%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine88.1%94.7%79.4%better
Short-stay residents rehospitalized after admission28.7%26.1%22.6%worse
Short-stay residents with an outpatient ER visit10.4%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days3.502.131.67worse
Long-stay outpatient ER visits per 1,000 resident days0.871.151.80better

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.

64.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 647 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.5%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
65.1%U.S. median 56.6%
Met the expected recovery
0.55U.S. median 0.31
Therapy hours / resident / day
0.25hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 65.1% 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 272 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 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF64.5%CMS range 59.8–67.651.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 8.3–12.410.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge65.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge62.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge51.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting99.7%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.6%CMS range 5.8–10.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.061.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.84
RN hours/ resident / day
0.89
LPN hours/ resident / day
2.28
Aide hours/ resident / day
4.02
Total nurse hours/ resident / day
0.64
RN hoursweekends
43.2%
Total nursing turnover
42.9%
RN turnover

How full it usually is: this home is certified for 141 beds and averages 133.3 residents a day — about 95% 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 4.02 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.28 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 3.56 hrs/resident/day on weekends vs 4.20 on weekdays — 15% thinner on weekends. RN hours go from 0.93 to 0.64 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% 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

3
deficiencies at the latest standard inspection (2025-07-31)
13
at the previous standard inspection (2023-04-27)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · D2026-06-13 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 and record review, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime related to an allegation of sexual abuse for one resident (#5) out of three residents sampled.Findings included: During a telephone interview with the Resident Representative on 06/13/2026 at 12:02 p.m., he reported receiving a call in May 2026 informing them that another resident entered Resident #5's room, threw objects, and exposed their genitals to Resident #5. The Resident Representative stated the resident was traumatized and avoided discussing the incident for weeks, stating, [Resident #5] did not want to talk about it when I would ask about it. This was a really hard things she had to deal with.Review of Resident #5's admission record revealed Resident #5 was admitted to the facility on [DATE] and discharged from the facility on 05/26/2026. A minimum data set (MDS) dated [DATE] revealed Section C. Cognitive Patterns, a brief…

    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 no plan of correction
  • Potential for harm · D2026-06-13 · 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 interviews and record review, the facility failed to follow their own policy regarding conducting and documenting their investigation of an allegation of sexual abuse for one resident (#5) out of three sampled residents.Findings included: During a phone interview on 06/13/2026 at 12:02 p.m., the Resident Representative (RR) stated he received a call from facility staff during an evening in May 2026 informing him that another resident entered Resident #5's room, was throwing things at Resident #5, and exposed his genitals. The RR stated the nurse notified him of the incident. The RR reported he instructed staff to move the other resident away from Resident #5. The RR stated he did not receive any further follow up from the facility. The RR reported Resident #5 required several weeks before she was able to discuss the incident with him.Record review showed Resident #5 was admitted on [DATE] and discharged on 05/26/2026. Review of Resident #5's admission MDS dated [DATE] revealed a brief interview mental…

    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 no plan of correction
  • Potential for harm · Ecited before2025-07-31 · tag F0644 — pattern
    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 record review and interview the facility failed to complete the Pre-admission Screening and Resident Review (PASARR) Level II for residents with qualifying mental health diagnosis for three residents (#17, #16, #8) of five residents reviewed for PASARRS. Review of Resident #17's medical record revealed the resident was admitted to facility on 12/11/2022 with diagnoses to include Alzheimer’s Disease, Unspecified; Dementia in other diseases classified elsewhere, Mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety; unspecified psychosis not due to a substance or known physiological condition; schizoaffective disorder, unspecified, Encephalopathy. Review of Resident #17's PASSAR level I screen dated 12/12/2022 revealed the qualifying diagnoses were not checked and recommendations for a level II PASARR were not acted upon. Review of Resident #16's medical record revealed the resident was admitted to the facility on [DATE]. Review of the resident’s diagnoses active as of…

    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 · D2025-07-31 · 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

    Based on interviews, observations, and record review the facility failed to implement a plan of care for a resident at risk for dehydration for one resident (#58) of one resident reviewed.Findings included: On 07/29/25 at 09:40 AM an observation revealed Resident #58 lying in bed, eyes closed and did not respond to verbal or tactile stimuli. There was no hydration or fluids observed at bedside.During an observation on 07/29/25 at 03:00 PM, Resident #58 was observed lying in bed. There was no hydration cup or fluids at bedside. On 7/29/2025 at 3:45 PM an interview was conducted with Resident #58's family member who stated Resident #58 needed extra care and could not get a drink of water on their own. The family member stated staff should check on the resident more frequently than they do and offer fluids. During an observation on 07/30/2025 at 9:07 AM, at 12:00 PM and at 4:10 PM, Resident #58 was observed in room. A water cup was observed on the bedside table dated 7/30/25, 11 a.m. -7 p.m. shift, at 04:14 AM. The cup was observed full of ice water. On 07/31/25 at 08:35 AM Resident…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-31 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, observations, and record review the facility failed to ensure proper hydration was provided for one resident (#58) of one resident sampled.Findings included: On 07/29/25 at 09:40 AM an observation revealed Resident #58 lying in bed, eyes closed and did not respond to verbal or tactile stimuli. There was no hydration or fluids observed at bedside.During an observation on 07/29/25 at 03:00 PM, Resident #58 was observed lying in bed. There was no hydration cup or fluids at bedside. On 7/29/2025 at 3:45 PM an interview was conducted with Resident #58's family member who stated Resident #58 needed extra care and could not get a drink of water on their own. The family member stated staff should check on the resident more frequently than they do and offer fluids. During an observation on 07/30/2025 at 9:07 AM, at 12:00 PM and at 4:10 PM, Resident #58 was observed in room. A water cup was observed on the bedside table dated 7/30/25, 11 a.m. -7 p.m. shift, at 04:14 AM. The cup was observed full of ice water. On 07/31/25 at 08:35 AM Resident #58 was observed sitting up in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-04-27 · 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, interview and record review, the facility failed to maintain the kitchen in an clean and sanitary manner. Findings included: During the initial tour of the kitchen on 04/24/23 at 09:20 AM with the Dietary Manager present The following was revealed: -The range hood was noted with grease drippings on light covers. -Debris was noted on top of the dish machine. -Food prep pans were noted to be to be drying face up. -Food storage bins were noted to be drying face up. (Photographic Evidence Obtained) On 04/26/23 at 03:06 PM a Comprehensive tour of the kitchen was conducted with the Dietary Manager and the Assistant Dietary Manager present. The following was revealed: -The range hood was still noted with grease drippings on light covers. -Debris was noted on top of the dish machine. -The reach-in freezer was noted to have a large area of ice build-up. (Photographic Evidence Obtained) During an interview with the Dietery Manager at this time He reported that I will make sure everything is corrected right away. Review of the facility policy titled Hoods and Filters with…

    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 · F2023-04-27 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to dispose of garbage and refuge in an appropriate manner. Findings included: During the initial tour of the kitchen on 04/24/23 at 09:20 AM with the Dietary Manager present an inspection of the dumpster area was conducted. The dumpster area was noted to have debris and refuge around the trash receptacles. (Photographic Evidence Obtained). Continued inspection of the dumpster areas revealed that there was a used oil receptacle next to the dumpster. The used oil receptacle was noted to have a lid which was uncovered and debris and refuge was noted to be sitting on the inner surface of the opened container. (Photographic Evidence Obtained). Interview with the [NAME] Manager at this time revealed that the dumpster area is used by the entire facility and that he was unaware of the condition of the the dumpster area. He reported that he is unsure why the used oil receptacle was open. Review of the facility policy titled Use of Outside Waste…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-27 · tag F0561 — failed to honor residents' choices — pattern
    Honor 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews the facility failed to ensure three (#196, #54, #349) out of 42 sampled residents were assessed for food and drink preferences, received meals as indicated on menu, and five (#21, #23, #52, #97,and #198) of five residents were offered to have meals in the facility's first floor dining room. Findings included: An observation was conducted on 4/26/23 at 9:45 a.m., of Resident #196 sitting on edge of bed wearing a right arm lower forearm brace as the breakfast tray was delivered. The resident stated that today was the first time that coffee had been offered (not on tray) by the Certified Nursing Assistant (CNA). The observation of the residents' tray indicated a covered glass of orange juice that was 1/2 full, a carton of 2% milk (which staff did not offer to open). The resident stated that it did not matter if the orange juice was only half full because resident did not drink orange juice due to having acid reflux and did not drink milk either but did get the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-27 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure behavior monitoring was in place related to psychotropic medication use for five residents (#76, #34, #85, #79, #14) out of five sampled residents. Findings included: 1. The admission record for Resident #34 revealed admission date of 08/16/22 and diagnoses that included dementia and depression. The Minimum Data Set (MDS) dated [DATE], Section C, revealed a Brief Interview for Mental Status (BIMS) score of 7 which meant the resident had moderate cognitive impairment. Sections D and E of the MDS revealed no mood disturbance and no presence of behavioral symptoms. Active physician orders revealed medication duloxetine 60 mg (milligrams) at bedtime for depression, start date 10/28/22. There was an order for monitoring side effects related to duloxetine use, but no order to monitor behaviors. The care plan for Resident #34 revealed a focus area for use pf psychotropic medications and interventions that included, My use of psychotropic medications…

    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 · E2023-04-27 · tag F0847 — pattern
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    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 ensure the binding arbitration agreement, explicitly informed the resident or their representative of the right not to sign and nor was contract contents understandable for three residents (#14, #41, and #349) of three residents sampled. The facility failed to offer an option to rescind the agreement within 30 days for one (Resident #14) of three sampled residents. Findings included: On 4/20/2023 at 1:00 p.m., an interview was conducted with the Nursing Home Administrator (NHA). NHA stated all residents review and sign arbitration agreements upon admission. The NHA stated no one has declined to sign the arbitration agreement. NHA provided a Facility admission Agreement with Blue [NAME] 3/21 on the bottom left corner, which incorporated the Arbitration Agreement. 1. Review of Resident #14's admission Record revealed Resident #14 was admitted on [DATE]., with diagnoses that included frontal lobe and executive function deficit following cerebral…

    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
Show the remaining 8 citations
  • Potential for harm · E2023-04-27 · tag F0848 — pattern
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    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 interviews, the facility failed to ensure the arbitration agreement provided for the selection of a venue that was convenient to both parties for three (Resident #14, #41 and #349) of three sampled residents. Findings included: On 4/20/2023 at 1:00 p.m., an interview was conducted with the Nursing Home Administrator (NHA). NHA stated all residents review and sign arbitration agreements upon admission. The NHA stated no one has declined to sign the arbitration agreement. NHA provided a Facility admission Agreement with Blue [NAME] 3/21 on the bottom left margin, which incorporated the Arbitration Agreement. Review of the Facility admission Agreement - Blue [NAME] 3/21 in the bottom left of the page. The binding arbitration agreement, which is incorporated in the admission Agreement, revealed it was presented to Resident #14 on 9/22/2022. There was no evidence of offering a neutral arbitrator. Review of the Facility admission Agreement - TLC - Florida-10/17 was revealed in the bottom…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-27 · 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 Based on observations, interviews, and resident record review, it was determined the facility failed to ensure reasonable accommodations were made to ensure one resident (#41) of six residents reviewed was able to get up into a wheelchair instead of remaining bedbound due to the facility not providing an appropriate wheelchair. Findings included: During an observation and interview conducted on 4/24/2023 at 11:55 a.m. Resident #41 said, I have not been able to get out of this bed for about eight months, I don't have a wheelchair that fits. I am unable to get into the one they have provided; it is way too small. During an interview with Resident #41 on 4/26/2023 at 9:51 a.m., the Resident verbalized how she really would like to get up out of bed. She is unable to because the wheelchair the facility has provided is too small. Resident #41 stated she has told several staff members: nurses, someone from the office and therapy. Resident #41 stated it is affecting her functioning and she is unable to perform…

    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 · D2023-04-27 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to issue a bed-hold notice at the time of transfer to the hospital for 1 of 1 (#94) resident sampled for hospitalization. Findings included Review of Resident #94's medical record revealed that this resident was admitted to the facility on [DATE] with diagnosis that include: Polyneuropathy, DMII, End Stage Renal Disease, Acute Pancreatitis, Calculus of Gall Bladder. Continued review of the record revealed SBAR 3/20/23 21:40 CIC [change in condition] Nausea/Vomiting NP [nurse practitioner] stated okay to send to ER for further eval, also per family and patient request. Review of the Nurse note dated 3/20/23 21:51 revealed that This nurse with patient and daughter, [name] via phone. Patient stated she is requesting to go to the hospital due to her feeling sick and c/o [complains of] nausea and stated she vomited at dialysis. Pt has 2x episodes of emesis, color green. Patient stated I want to go to the hospital NP notified of residents request and n/v…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-27 · 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 observations, interview and record review, the facility failed to request a level II PASSR (pre admission screening and resident assessment) screen when documented diagnosis reflected the need for a level II PASSR screen for 1 of 1 (#63) residents sampled. Findings included: Review of Resident #63's medical record revealed the resident was admitted to the facility on [DATE]. Review of the resident's facesheet revealed the resident had diagnosis that included the following: Bipolar Disorder, Current Episode Manic without Psychotic Features; Dementia in other diseases Classified Elsewhere, Mild, with other Behavioral Disturbances; Major Depressive Disorder, Recurrent. Review of Resident #63's PASSR level I screen dated 3/20/2023 revealed that in section I. A the resident had Bipolar Disorder, there were no other diagnosis checked in this section. In section II.6 revealed that the resident does not have a secondary diagnosis of dementia, related neurocognitive disorder (including Alzheimer's disease) and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-27 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to revise the care plan for one (#85) out of four residents who suffered a fall that resulted in a hospitalization. Findings included: The review of Resident #85's admission Record identified that the resident was initially admitted on [DATE] and re-admitted on [DATE]. The record included diagnoses not limited to metabolic encephalopathy, unspecified Alzheimer's Disease, and paroxysmal atrial fibrillation. The 5-day Minimum Data Set, dated [DATE], indicated the resident scored 10 out of 15 on their Brief Interview of Mental Status (BIMS) identifying a moderate cognitive impairment. On 4/24/23 at 3:28 p.m., Resident #85 reported falling but had not broken anything. The observation indicated that the resident's door was closed at times, the resident's bed was in the low position with no floor mats. An observation was made on 4/26/23 at 8:44 a.m., sitting in wheelchair in the therapy gym. A staff member was observed removing the leg rests…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-27 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    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 observations, interviews, and record review, the facility failed to ensure physician ordered splints were applied for one dependent resident (#48) of two sampled residents. Findings included: An observation occurred on 4/24/2023 at 11:05 a.m. of Resident #14 with splints on both feet. The left foot was in the splint, and her heel was outside of the boot directly on the bed. The right foot was in the splint correctly. An observation on 4/25/2023 at 1:43 p.m. of Resident #14 revealed the resident did not have splints on either foot. Both heels were directly on the bed. An observation on 4/26/2023 at 9:22 a.m. of Resident #14 revealed the resident had both of her feet on the bed with no splints applied. During an interview conducted on 4/26/23 at 12:39 p.m., Staff A, Registered Nurse (RN), stated the certified nursing assistant (CNA), restorative CNA, or therapy (staff) place Resident #14's splints on. Staff A confirmed she does not usually put them on, although she documents on the Administration Record…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-27 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews, and interviews, the facility failed to ensure the medication error rate was less than 5.00%. Twenty-seven medication administration opportunities were observed and four errors were identified for two (#48 and #96) of seven residents observed. These errors constituted a 14.81% medication error rate. Findings included: 1. On 4/25/23 at 8:39 a.m., an observation of medication administration with Staff Member E, Licensed Practical Nurse (LPN), was conducted with Resident #48. The staff member dispensed the following medications: - Levemir FlexPen - dialed the dosage selector to 18 units which was verified by another floor nurse. - Losartan 50 milligram (mg) tablet - Metformin 500 mg tablet - Hydrochlorothiazide 12.5 mg capsule - Famotidine 20 mg tablet - Artificial tears bottle - Acidphilus (lactobacilli) 500 million cells The medication profile for Resident #48 identified that the resident was scheduled at 7:00 a.m. to receive Novolog. The staff member entered Resident #48's room and at 8:56 a.m. on 4/25/23, obtained a blood glucose level of 117…

    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 · D2023-04-27 · tag F0801 — isolated
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure that the Dietary Manager met the requirements related to Certification for the position of Dietary Manager when a qualified dietitian or nutrition professional was not employed full time. Findings included: On 04/24/23 at 09:20 AM the initial tour of the kitchen began. Interview with the Director of Dining and Nutrition Services revealed that he is the Dietary Manager and is charge of running the kitchen. He reported that he is not a Certified Dietary Manager (CDM), but is going through a training course now. He reported that he is in charge of the kitchen, and is supervised I think by the Administrator. He reported that the Registered Dietician (RD) comes to the facility on Tuesdays and Thursdays. On 04/26/23 at 03:06 PM the comprehensive tour of the kitchen began. Interview with Director of Dining and Nutrition Services and the Assistant Director of Dining and Nutrition Services revealed that neither individuals are CDM's. They reported that the kitchen does not have a Certified Dietary Manager right now, and that…

    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.

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TLC MANAGEMENT — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.8+0.2 vs chain
Health inspection 3 of 53.3-0.3 vs chain
Staffing 4 of 53.5+0.5 vs chain
Quality measures 5 of 54.7+0.3 vs chain
The other 19 homes this chain runs (chain average 3.8★, 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 / managerTypeRoleSince
SMITH, KIMBERLYIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTORsince 11/30/2020
OTT, DWIGHTIndividualCORPORATE OFFICERsince 06/28/2017
OTT, GARYIndividualCORPORATE OFFICERsince 06/28/2017
OTT, RYANIndividualCORPORATE OFFICERsince 06/28/2017
TENDER LOVING CARE MANAGEMENT INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 06/28/2017

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

$14.6M
Net patient revenuemost recent cost report
-51.3%
Operating marginrevenue minus expenses
$84K
Related-party expense0% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 34%Other / private 66%

This home reported $84K 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

$670per resident / day
operating cost
$20,379per month
≈ monthly operating cost
$443per day
avg. revenue, all payers

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

What families pay in FL

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 106147. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-31, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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