Williston Care Center And Rehab

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.

56.2% 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 86 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 79.2% 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 106 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 110.7 residents a day — about 92% occupied, or roughly 9 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 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 3.61 on weekdays — 9% thinner on weekends. RN hours go from 0.34 to 0.13 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%.

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

Inspection trend

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

Inspection deficiencies

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

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

28 citations, most serious first. The 12 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · K2023-11-08 · tag F0678 — failed to provide CPR when needed — pattern
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 honor a resident's expressed advanced directive for end of life by failing to ensure life saving measures, such as cardiopulmonary resuscitation [CPR], were initiated when Resident #1 was found unresponsive and absent of life. Staff A, Licensed Practical Nurse stated the resident was dead and she did not provide cardiopulmonary resuscitation or contact Emergency Medical Services. The resident was not legally pronounced deceased until the Medical Director wrote a clarification statement on [DATE] at 8:27 PM stating that he had acknowledged the resident's death by releasing the remains to a funeral home. The hospice report of death record states the facility staff pronounced the resident deceased and did not document hospice's assessment of the resident's status. Resident #1 was pronounced deceased by Staff A, LPN who is not qualified to pronounce. CPR was not initiated per the resident's wishes due to the determination of being deceased by Staff A. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2023-11-08 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure nursing staff followed policy/procedure and the nurse practice act related to initiating emergency care for a resident found to be without a pulse or respiration such as initiating cardiopulmonary resuscitation (CPR) or calling emergency medical services. Staff A, a Licensed Practical Nurse, observed Resident #1 on [DATE] at 6:30 AM, unresponsive and absent of life, pronounced Resident #1 as deceased and withheld cardiopulmonary resuscitation despite the resident's full code status. The Licensed Practical Nurse stated the resident was dead and she did not provide cardiopulmonary resuscitation or contact Emergency Medical Services. The resident was not legally pronounced deceased until the Medical Director wrote a clarification statement on [DATE] at 8:27 PM stating that he had acknowledged the resident's death by releasing the remains to a funeral home. The hospice report of death record states that facility staff pronounced the resident deceased and did not document hospice's…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 each resident received an accurate assessment reflective of the resident status for 2 of 7 residents, Residents #1 and #3 reviewed for Minimum Data Set (MD) assessments. 1)Review of Resident #1 Minimum Data Set (MDS) titled Quarterly dated 9/18/2025 in Section J Bladder and Bowel documented no indwelling catheter.Review of Resident #1 physician order dated 1/24/2025 read, Cath [Catheter] Change urinary catheter bag and tubing once monthly and as needed.Review of Resident #1 physician order dated 9/9/2025 read, Suprapubic Catheter Dx [Diagnosis]: Neurogenic bladder.Review of Resident #1 physician order dated 9/9/2025 read, Cath: Catheter care with soap and water every shift pat dry, apply T-drain per resident request and as needed.During an interview on 12/05/2025 at 12:40 with the MDS Coordinator stated, [Residnet #1's name] does have a catheter, not sure why it was coded no. We will have do submit a modification and correct it.Review of the facility policy and procedure titled MDS Assessment with an issue date 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 · D2025-04-03 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain dignity for a resident who needed assistance with feeding for 1 of 6 residents, Resident #5, reviewed for dining. Findings include: During an observation on 3/31/2025 at 2:58 PM Staff D, Certified Nursing Assistant (CNA) was observed standing while feeding Resident #5 at bedside. During an observation on 4/02/2025 at 12:51 PM Staff D, CNA, was standing by Resident #5's bedside feeding Resident #5. During an interview on 4/02/2025 at 12:51 PM Staff D, CNA stated, I have a bad back. The CNA then quickly sat down in the chair that was beside her. During an interview on 4/02/2025 at 12:56 PM Staff C, Unit Manager stated, Staff are supposed to sit while assistive feeding. During an interview on 4/03/2025 at 9:16AM the Director of Nursing (DON) stated, There should be good lighting, set the resident up, and sit down to feed the resident. The policy and procedure were requested for assistive dining. The DON stated she did not have a policy on feeding residents, but the standard of care is for staff to sit at eye level 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to accurately assess the resident status for 3 of 9 residents, Residents #31, #54, and #367) reviewed for accuracy of assessments. Findings include: 1) Review of the annual Minimum Data Set (MDS) dated [DATE] section C for Resident #54 read, BIMS (Brief Interview for Mental Status as a score of 00, indicating severe cognitive impairment. Review of annual Minimum Data Set (MDS) dated [DATE] section J for Resident #54 read, Current tobacco - Yes. During an interview on 4/1/2025 at 4:06 PM Staff H, MDS Nurse stated, The resident [Resident #54] is not a smoker and the documentation in the MDS in section J, was documented in error. 2) Review of the medical diagnosis for Resident #31documented a diagnosis of acute respiratory failure with hypercapnia (a condition where there's an abnormally high level of carbon dioxide in the blood). Review of a physician order for Resident #31 read, Continuous O2 (oxygen) at 3 Liters per Minute (L/min) via NC (nasal canula)…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to develop and implement a comprehensive person-centered care plan that addressed the residents' medical, physical, mental and psychosocial needs for 4 of 9 residents, Resident numbers #31, #33, #66, and #367, reviewed for comprehensive care plans. Findings include: 1) Review of medical diagnosis for Resident #31 revealed a diagnosis of major depressive disorder, generalized anxiety disorder and persistent mood disorder. Review of the [Name of the organization that provides behavioral health/psychiatric and psychotherapy services] progress note dated 3/19/2025 for Resident #31 read, Chief Complaint: depression, anxiety, insomnia and mood disorder. During an interview on 4/2/2025 at 11:22 AM, APRN (Advanced Practice Registered Nurse) #2 stated, The Resident does have diagnosis and receives treatment for major depressive disorder, generalized anxiety disorder and persistent mood disorder. During an interview on 4/2/2025 at 12:20 PM Resident #31 stated, I…

  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 · D2025-04-03 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record reviews, the facility failed to provide nail care services for dependent residents for 1 of 5 residents, Resident #54, reviewed for activities of daily living (ADL). Findings include: During an observation on 3/31/2025 at 10:05 AM Resident #54 was observed to have a large amount of a brown substance under the fingernails of both of her hands. During an observation on 4/1/2025 at 10:51 AM Resident #54 was observed to have a large amount of a brown substance under the fingernails of both of her hands. During an observation on 4/2/2025 at 9:20 AM Resident #54 was observed to have a large amount of a brown substance under the fingernails of both of her hands. During an interview on 4/2/2025 at 11:12 AM Staff O, Certified Nursing Aide (CNA) stated, Her (Resident #54) nails are dirty and do not look like they have been cleaned recently. During an interview on 4/2/2025 at 12:37 PM the DON (Director of Nursing) stated, My expectations are a dependent resident should have their nails cleaned with their ADL care. Review of medical diagnosis on…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · 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 observation, interview and record review the facility failed to ensure it is free of medication errors of five percent or greater for 2 of 33 observations of medication administration, the error rate was 6.06%. Findings include: During an observation on 4/2/2025 at 8:18 AM of Staff B License Practical Nurse (LPN) for Resident #416's medication administration, Staff B removed one tablet of Amiodarone 100 mg (milligrams), one tablet empagliflozin 10 mg, one tablet Ferex 150 plus, half a tablet of spironolactone 12.5 mg, two tablets of Bumex 2mg, one tablet of Eliquis 5 mg, on tablet of Entresto 49-51mg, and one tablet of metoprolol 25 mg placing the medications into a clear medication cup. Staff B entered Resident #416's room and administered all the medications in the medication cup. Staff B returned to the medication cart and signed off the administration of the medications as listed. Review of Resident #416's physician order dated 3/25/2025 read, Amiodarone HCI Tablet 100 mg (Amiodarone HCI) give 200 mg by mouth one time a day for htn [hypertension]. During an interview on…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0761 — failed to label and store drugs safely — isolated
  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

  Based on observations, interviews, and record review the facility failed to ensure drugs and biologicals used in the facility were stored and labeled in accordance with accepted professional principles for 2 of 4 medication carts and 1 of 4 hallways reviewed for unattended medication and labeling. Findings include: 1) During an observation on 3/31/25 at 11:20 AM of Resident #318 it showed the resident had a PICC (peripherally inserted central catheter) line to the upper left arm. There was IV (intravenous) tubing that was not dated and an IV-cefriaxone (used to treat bacterial infections) solution medication bag that was not labeled with the date and time. During an interview on 3/31/2025 at 12:52 PM Staff F, Registered Nurse (RN) stated, The IV tubing hanging from the I/V pole for [Resident #318's name] should have a label with a date and time it was hung. During an interview on 4/03/25 at 09:16 AM the Director of Nursing (DON) stated, Staff should have labeled the medication bag and the IV tubing. Review of the policy and procedure titled IV Infusions with a last review date…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to maintain complete and accurately documented medical records for 1 of 6 residents, Resident #66 reviewed for medication review and 1 of 3 residents, Resident #31 reviewed for weights. Findings include: 1) Review of Resident #66's physician order dated 3/1/2025 read, Insulin Apart FlexPen 100 unit/ml [100 unit per milliliter] solution pen-injector inject as per sliding scale. Review of Resident #66 Medication Administration Record for the month of March 2025 documented Insulin Apart at 0630 [6:30 AM] on 3/27/2025 was blank, at 1630 [4:30PM] on 3/15/2025 and 3/28/2025 the entry was blank, on 3/12/2025 at 2100 [9:00 PM] the entry was blank, and no blood sugar levels or insulin coverage was documented. Review of Resident #66's progress note dated 3/28/2025 read, Resident went out today. Returned drunk slurred speech, unsteady gait. Meds held per md's [Medical Doctor's] orders. Review of Resident #66 Release of Responsibility for leave of absence form documented on 3/15/2025 at 2:04 PM Resident #66 signed himself…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · 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

  2) During an observation on 3/31/25 at 9:55 AM, Resident #29 was lying in a bariatric bed; dressed in a hospital gown and wearing a brief. Both of the resident's feet were propped up on pillows, and there was a Podus Boot (designed to support and position the ankle and foot) on his right foot. During an interview on 3/31/25 at 9:55 AM, Resident #29 stated that he wore briefs and that he required assistance from the staff for his Activities of Daily Living (ADL) needs. During an observation on 4/2/25 at 9:25 AM, Staff A, Certified Nursing Assistant (CNA) performed peri-care for Resident #29. Staff A did not remove her gloves and perform hand hygiene. Staff A opened a drawer in Resident #29's dresser, pulled out a tube of ointment, and applied some to Resident #29's sacrum and buttocks. After applying the ointment for Resident #29, while still wearing her soiled gloves, Staff A picked up the wash basin, emptied the water out of the basin and placed the basin, soap and ointment in the drawers of the resident's dresser. During an interview on 4/2/25 at 9:38 AM, Staff A, CNA stated, I…

  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 · Ecited before2024-01-11 · 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

  Based on observation, interview, and review of facility policy and procedure the facility failed to label and store all medications in accordance with professional standards of practice in 3 of 4 medication carts reviewed for medication storage. Findings include: During an observation of medication cart #1 on 1/8/2023 at 8:55 AM with Staff A, Licensed Practical Nurse (LPN) there was one unopened Levemir insulin pen with pharmacy instructions to refrigerate until opened and one unopened Ozempic pen with pharmacy instructions to refrigerate until opened. During an interview on 1/8/2024 at 9:03 AM Staff A, LPN stated, They must have just been put on the cart. I did not put them on the cart. They should be in the refrigerator until we need them, and they are opened. During an observation of medication cart #2 on 1/8/2024 at 9:05 AM with Staff B, LPN there was one unopened bottle of latanoprost ophthalmic solution (eye drops) with pharmacy instructions to refrigerate until opened, and one Loperamide (a medication to treat diarrhea) tablet with no resident identifier and not in the…

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

  Pharmacy Service 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

$15,593 in federal fines across 2 penalties.

• $7,796 — penalty dated 2023-11-08
• $7,797 — penalty dated 2023-11-08

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to FL SNF TRUST — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $10K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in FL