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Spring Lake Rehabilitation Center

1540 6th St NW, Winter Haven, FL 33881 · For profit - Partnership · 132 certified beds · (863) 294-3055 Medicare & Medicaid certified

Call the home — (863) 294-3055 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
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 (5/5)
  • lower-than-typical staff turnover (29% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit 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.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 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, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1495 6th St NW · (863) 534-3707 · Call to confirm hours
Pharmacy
1505 6th St NW · (863) 298-9997 · Call to confirm hours
Grocery
1395 6th St NW · (863) 299-8000 · Call to confirm hours
Park
300 Avenue M NW · Typically dawn to dusk
Place of worship

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 3 to 5 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 rating5★
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 increased9.3%8.7%15.4%better
Long-stay residents who lose too much weight0.5%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.9%0.3%0.9%typical
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 symptoms0.4%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 injury1.8%2.5%3.3%better
Long-stay residents whose ability to walk worsened8.9%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication24.6%14.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers4.0%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control8.1%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table7.1%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.4%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine98.8%94.7%79.4%better
Short-stay residents rehospitalized after admission25.1%26.1%22.6%worse
Short-stay residents with an outpatient ER visit5.6%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.362.131.67better
Long-stay outpatient ER visits per 1,000 resident days0.281.151.80better

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.

65.9% 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 777 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

65.9%U.S. median 51.5%
Got home and stayed home
12.1%U.S. median 10.7%
Went back to hospital
41.0%U.S. median 56.6%
Met the expected recovery
0.92U.S. median 0.31
Therapy hours / resident / day
0.43hours / resident / day
Physical therapy
0.30hours / resident / day
Occupational therapy
0.19hours / resident / day
Speech therapy

Met the expected recovery: 41.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 402 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 0.92 therapist hours per resident per day in 2026Q1 — more than 96% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 SNF65.9%CMS range 62.3–68.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.1%CMS range 10.0–14.010.7%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 discharge41.0%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 discharge32.3%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 discharge41.3%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 identified99.5%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 discharge99.3%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 stay0.6%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 hospitalization6.4%CMS range 4.5–8.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.081.02Oct 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

0.95
RN hours/ resident / day
0.89
LPN hours/ resident / day
2.77
Aide hours/ resident / day
4.61
Total nurse hours/ resident / day
0.69
RN hoursweekends
28.8%
Total nursing turnover
30.8%
RN turnover

How full it usually is: this home is certified for 132 beds and averages 128.4 residents a day — about 97% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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 4.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.77 is at or above 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 4.01 hrs/resident/day on weekends vs 4.86 on weekdays — 17% thinner on weekends. RN hours go from 1.06 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

7
deficiencies at the latest standard inspection (2025-02-13)
5
at the previous standard inspection (2022-12-22)

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

Inspection deficiencies

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

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · Ecited before2025-02-13 · tag F0645 — pattern
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 obtain an accurate Pre-admission Screening and Resident Review (PASRR) screen prior to a re-admission for one (#98) resident of thirty sampled residents and failed to ensure residents with Mental Illness or Suspected Mental Illness were referred for Level II screening for two residents (#96 and #15) of thirty sampled residents. Findings included: 1. Review of Resident #98's census information revealed the resident was admitted on [DATE], discharged on 7/14/24, and re-admitted [DATE]. Review of Resident #98's admission Record revealed the resident was originally admitted on [DATE] and re-admitted on [DATE]. The record did not include any mental health diagnoses. Review of Resident #98's Level I PASRR screen dated 7/3/24, did not show the resident had any Mental Illness (MI), Suspected Mental Illness (SMI), Intellectual Disability (ID), or Suspected Intellectual Disability (SID). The PASRR included in the resident record revealed the resident did not…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-02-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure appropriate cautionary and safety signs indicating the use of oxygen were posted at 23 out of 23 randomly observed rooms where oxygen was administered. Findings include: During an observation on 2/11/2025 at 2:59 PM, 23 resident rooms where oxygen was observed administered had no oxygen use signage near the resident rooms. During an observation on 2/12/2025 at 4:00 PM, the facility had no smoking signs posted outside the facility next to the front entrance door, but there were no signs addressing the use of oxygen inside the facility. During an interview on 2/13/2025 at 11:45 AM, the Nursing Home Administrator and the Director of Nursing stated the facility did not need oxygen signs on resident doors because they had no smoking signs posted outside the facility. During an interview at 12:00 PM on 2/13/2025 with the [NAME] President of Clinical Services, she stated they were told by life safety they did not have to put oxygen signs outside resident rooms where oxygen is administered because they have no smoking signs…

    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 · Dcited before2025-02-13 · 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 resident record review and staff interview, the facility did not ensure accurate and timely completion of resident assessments for two residents (#27 and #82) of two residents reviewed for resident assessments. Findings included: Review of the record for Resident #27 revealed he was admitted to the facility on [DATE] and died in the facility on [DATE]. An MDS (Minimum Data Set) assessment dated [DATE] indicated the assessment was for Death in facility. The MDS assessment was completed on [DATE] but was not submitted. Review of the record for Resident #82 revealed he was admitted to the facility on [DATE] and discharged to the hospital on [DATE]. Review of the MDS assessments for Resident #82 revealed the last assessment submitted was an admission assessment, submitted [DATE]. An interview with Staff E, Resident Care Specialist I RN on [DATE] at 12: 21 p.m. revealed Resident #27's MDS assessment should have been submitted. Staff E, Resident Care Specialist I RN also stated the discharge MDS assessment…

    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 · D2025-02-13 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 assist and provide activities per preference to one resident (#71) of thirty sampled residents. Findings included: On 2/10/25 at 10:31 a.m., an observation and interview was conducted with Resident #71. The resident stated the facility does not ask them to go to activities, because I would probably go. On 2/12/25 at 2:05 p.m., Resident #71 was observed sitting in a wheelchair in a room with a television playing. The resident reported being unaware of an activity calendar in the room. The resident stated they would go to activities, but staff don't tell her. Observation of resident room showed a calendar placed approximately four and a half feet from the floor on a bulletin board in the room. An interview was conducted on 2/12/25 at 2:07 p.m. with Staff A, Certified Nursing Assistant (CNA). The staff member stated Resident #71 does not go to activities but goes to therapy. Staff A, CNA reported the activity department goes into the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-13 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to coordinate communication with a Dialysis center for one resident (#36) of one resident sampled for Dialysis services. Findings included: On 2/12/25 at 12:32 p.m., Resident #36 was observed lying in bed with a lunch tray on the overbed table next to the bed. The resident reported not feeling well and may not go to Dialysis. The resident also stated she has not missed any Dialysis appointments and the facility provided transportation to the Dialysis center. Review of Resident #36's admission Record revealed the resident was admitted on [DATE] and readmitted on [DATE]. The record included diagnoses of end stage renal disease (ESRD) and dependence on renal dialysis. Review of Resident #36's February 2025 physician orders showed the resident was to receive Hemodialysis three times a week every Monday, Wednesday, and Friday. An interview was conducted on 2/11/25 at 3:41 p.m. with Staff B, Registered Nurse (RN). The staff member stated a face…

    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 · D2025-02-13 · 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 policy review, the facility failed to ensure medications were stored in a safe manner and inaccessible to unauthorized personnel, visitors, and residents on two (800-hall and 200-hall) of seven medication carts. Findings included: On 2/12/25 at 8:49 a.m., an observation was conducted with Staff F, Licensed Practical Nurse (LPN) of medication administration. On 2/12/25 at 9:13 a.m. after the observation of medication administration with Staff F, LPN, an observation was conducted of a thermal cooler sitting on top of the medication cart of the 800-hall with a bottle of over-the-counter medication handwritten labeled Lacto Probiotic. The staff member stated the Lacto was left unattended on the medication cart, but it had to stay refrigerated during the medication pass. On 2/12/25 at 11:41 a.m., an observation was conducted with Staff D, LPN obtaining a blood glucose level and the administration of insulin aspart for Resident #246. The staff member moved the medication cart from the doorway outside of the resident's room to the nursing station…

    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 · D2025-02-13 · 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

    Based on observations, interviews, and record review, the facility did not ensure timely isolation precautions were initiated for one resident (#345) out of 39 residents sampled. Findings included: A review of Resident #345's admission Record showed an admit date of 2/7/2025 with a primary diagnosis of periprosthetic fracture abound internal prosthetic left hip joint, subsequent encounter. On 2/10/2025 at 9:50 a.m., an observation and interview was conducted with Resident #345 in the resident's room. Resident #345 stated he was in the facility for rehabilitation after hip repair surgery. Resident #345 had two dressings on his left lower extremity. Resident #345 did not have any signage indicating the resident was on Enhanced Barrier Precautions (EBP). On 2/11/2025 at 12:45 p.m., an interview was conducted with the Assisted Director of Nursing/Infection Control Preventionist (ADON/ICP). The ADON/ICP stated all residents with any wounds, including surgical wounds, should be on EBP. On 2/12/2025 12:22 p.m., a follow up interview was conducted with the IPC related to Resident #345. 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-22 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to honor one resident's (#83) dignity by not providing appropriate customer service related to communication to the resident from a staff member out of thirty-six sampled residents. Findings included: The admission Record revealed that Resident #83 was admitted initially on 5/27/20 and re-admitted on [DATE]. The record included diagnoses not limited to major depressive disorder, need for assistance with personal care, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and unspecified anxiety disorder. The Admission/5-day Minimum Data Set (MDS), dated [DATE], identified Resident #83 as having a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. The MDS revealed the resident had no identified moods or behaviors, and required extensive assistance with bed mobility, dressing, and personal hygiene. The MDS indicated the resident was always incontinent of bladder 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-22 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 a Self-Administration of Medication Evaluation was completed for one resident (#393) of thirty-six sampled residents prior to leaving medications at bedside for the resident to administer without the presence of nursing staff. Findings included: The admission Record indicated Resident #393 was admitted on [DATE]. The record included diagnoses of unspecified chronic obstructive pulmonary disease, unspecified systemic lupus erythematosus, and a need for assistance with personal care. The Admission/5-day Minimum Data Set (MDS), dated [DATE], indicated Resident #393's Brief Interview for Mental Status (BIMS) score was 15 out of 15, identifying intact cognition. On 12/19/22 at 10:52 a.m., an observation was made of a medication cup containing a thick-looking golden liquid and a small bottle of a topical medication on the over-bed table in Resident #393's room. The medication cup was labeled [Room Number and Bed Identifier] and 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 · Dcited before2022-12-22 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were accurately screened for possible mental disorders or intellectual disabilities prior to admission for one resident (#9) of three residents sampled for Preadmission Screening and Resident Review (PASARR) screenings. Findings included: A review of Resident #9's admission Record revealed Resident #9 was admitted to the facility on [DATE] with diagnoses of anxiety disorder, depression, and Post-Traumatic Stress Disorder (PTSD). A review of Resident #9's hospital admission History and Physical (H&P), dated 11/12/2022, revealed Resident #9 had a history of PTSD, depression, and anxiety. A review of Resident #9's Level I PASARR assessment, dated 11/17/2022, revealed, under the section titled A. MI (Mental Illness) or suspected MI (check all that apply), the checkboxes for the selections Anxiety Disorder, Depressive Disorder, and Other (specify), were not checked. A review of Resident #9's Minimum Data Set (MDS) assessment, dated…

    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
Show the remaining 5 citations
  • Potential for harm · D2022-12-22 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure 1. the medication regimen for one resident (#83) included medications with relevant diagnoses and 2. one resident (#93) received medications appropriately and per directions of the physician out of thirty-six sampled residents. Findings included: 1. The admission Record for Resident #83 identified an initial admission date of 5/27/20 and a readmission on [DATE]. The record revealed diagnoses not limited to unspecified chronic obstructive pulmonary disease, and unspecified systolic (congestive) heart failure. The Admission/5-day Minimum Data Set (MDS), dated [DATE], identified Resident #83 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. The MDS indicated the resident received as needed pain medication. A review of Resident #83's active physician orders for December 2022 included the following physician orders: - Acetaminophen 325 milligram (mg) tablet - Give 2 tablet by mouth every…

    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 before2022-12-22 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. The admission Record indicated on 11/08/22 Resident #93 was admitted to the facility. The record included diagnoses not limited to Parkinson's disease and benign prostatic hyperplasia with lower urinary tract symptoms. The 5-day Minimum Data Set (MDS), dated [DATE], identified a Brief Interview for Mental Status score of 15 out of 15, indicating intact cognition. During an initial interview, on 12/19/22 at 1:36 p.m., Resident #93 reported receiving therapy for one hour per day then sitting in the room for the other 23 hours of the day. The resident related speaking with Staff B Licensed Practical Nurse/Unit Manager (LPN/UM) regarding many issues and the case manager [Staff G] would come talk with him. On 12/20/22 at 3:46 p.m., Resident #93 was observed sitting in his wheelchair and was interviewed while in his room. On 12/21/22 at 12:44 p.m., Resident #93 reported the case manager had not been in to speak with him. Staff B, LPN/UM stated, on 12/21/22 at 12:51 p.m., Resident #93 had spoken with her about…

    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 · E2022-01-07 · tag F0885 — failed to notify residents/families about COVID-19 — pattern
    Report COVID19 data to residents and families.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, the facility failed to notify the resident representatives and families of four (Residents #11, #107, #61, and #416) sampled residents of confirmed COVID-19 cases in the facility in a timely manner. Findings included: On 1/4/22 at 9:42 a.m., during the entrance conference, it was identified that seven employees had tested positive for COVID between 12/31/21 and 1/3/22. A review of the testing log for employees confirmed that five employees had tested positive for COVID on 12/31/21 and two employees had tested positive on 1/3/22. During record reviews of Resident #11, #107, #61, and #416, it was noted that the records indicated no notification was sent to the representatives or family members from 12/30/21 to 1/5/22 of the positive COVID-19 cases. On Friday, 1/7/22 at 10:22 a.m., an interview was conducted with the Nursing Home Administrator (NHA). She confirmed she was the person who notified representatives of residents and family members by electronic method and the notifications were automatically loaded into the residents' electronic…

    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 · Dcited before2022-01-07 · 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 observations, record reviews, and interviews, the facility failed to ensure one (Resident #11) of five residents sampled for skin conditions (pressure and non-pressure related) received weekly skin assessments. Findings included: The policy titled, Weekly and As Needed (PRN) Skin Check, copyright 2008, identified the purpose was To provide care to reduce the risk of pressure ulcers and to manage the treatment and to promote healing. The Weekly and PRN Skin Check is used to document skin condition through the Resident's stay in the facility. It is recommended that designated staff members of the nursing team complete the weekly skin checks for Residents in order to ensure continuity. If a new area of impairment is, it should be documented on the Weekly and PRN Skin Check and the appropriate Weekly Skin Grid initiated. A review of the policy procedure indicated that A Weekly Skin Grid will be initiated when an area of skin impairment is identified. The procedure instructed staff that a Skin check should…

    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 before2022-01-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to ensure the medical records of two (Residents #107 and #11) of 41 sampled residents were complete and accurately documented in regards to the management and description of a pressure-related skin injury, non-pressure skin injury, and providing a treatment as documented. Findings included: The policy titled, Weekly and As Needed (PRN) Skin Check, copyright 2008, identified the purpose was To provide care to reduce the risk of pressure ulcers and to manage the treatment and to promote healing. The Weekly and PRN Skin Check is used to document skin condition through the Resident's stay in the facility. It is recommended that designated staff members of the nursing team complete the weekly skin checks for Residents in order to ensure continuity. If a new area of impairment is, it should be documented on the Weekly and PRN Skin Check and the appropriate Weekly Skin Grid initiated. A review of the policy procedure indicated, A Weekly Skin…

    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

“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 CLEAR CHOICE HEALTHCARE — 8 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 5 of 53.5+1.5 vs chain
Health inspection 3 of 53.0≈ chain avg
Staffing 5 of 53.8+1.2 vs chain
Quality measures 5 of 54.0+1.0 vs chain
The other 7 homes this chain runs (chain average 3.5★, 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
SAMUEL B KELLET QTIP MRTL TROrganizationDIRECT OWNERSHIP INTERESTsince 12/01/2003
CAPITAL FUNDING GROUP, LLCOrganization5% OR GREATER MORTGAGE INTERESTsince 04/09/2019
CLEAR CHOICE HEALTH CARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2007
SBK CAPITAL, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2003
BONNER, EDWARDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/12/2025
KENNEDY, DEBORAHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2003
MANUBENS, CLAUDIOIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/09/2018
PARTEE, LESLIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2022

CMS files one row per role, so the 10 rows in the source record cover these 8 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.

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.

$20.2M
Net patient revenuemost recent cost report
+5.0%
Operating marginrevenue minus expenses
$2.7M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 31%Medicare 40%Other / private 29%

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$426per resident / day
operating cost
$12,955per month
≈ monthly operating cost
$449per 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 105730. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-13, 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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