Tag 0689 · Severity E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correctionAt a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 82.3% | Latest inspection | 2026-06-05 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 356.3 points
Total nurse staffing
Facility: 3.69 hours/day
RN staffing
Facility: 0.37 hours/day
Staff turnover
Facility: 60.5%
Latest health deficiencies
Facility: 18 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 356.3 points | 43.0 points | 38.5 points |
| Total nurse staffing | 3.69 hours/day | 3.59 hours/day | 3.63 hours/day |
| RN staffing | 0.37 hours/day | 0.40 hours/day | 0.62 hours/day |
| Staff turnover | 60.5% | 60.9% | 41.8% |
| Latest health deficiencies | 18 deficiencies | 9 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-06-05
18 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0695 · Severity E
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correctionTag 0698 · Severity E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correctionTag 0925 · Severity E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has no plan of correctionTag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correctionTag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correctionTag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correctionTag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correctionTag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correctionTag 0732 · Severity C
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has no plan of correction2025-01-09
15 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0584 · Severity E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-13Tag 0644 · Severity E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-02-13Tag 0695 · Severity E
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-20Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-02-13Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-13Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-13Tag 0770 · Severity D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Deficient, Provider has date of correction 2025-02-13Tag 0812 · Severity D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-02-13Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-02-132023-08-16
5 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-10-09Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-09Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-09Tag 0761 · Severity D
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-10-09Tag 0732 · Severity C
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-10-09Staffing composition
2.38 hours/dayNurse aide
0.94 hours/dayLPN
0.37 hours/dayRN
- Total staffing
- 3.69 hours/day
- County median
- 3.59 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.55 hours/day
- Staff turnover
- 60.5%
- RN turnover
- 80.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
4.0 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days20250101-20251231
Emergency-department visits
1.2 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days20250101-20251231
Falls with major injury
2.0%betterFlorida: 2.2% · County: 2.2%2025Q2-2026Q1
Pressure ulcers
8.1%worseFlorida: 4.2% · County: 5.2%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
2.5%betterFlorida: 7.0% · County: 2.5%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusWhat corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcers
Facility Details
- County
- Alachua County
- Certified beds
- 120
- Average daily residents
- 98.8
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1984-03-13
- CCN
- 105460
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.37783 |
| Lpn hours | 0.94286 |
| Rn hours | 0.36892 |
| Reported total hours | 3.6896 |
| Weekend total hours | 3.55258 |
| Weekend rn hours | 0.27807 |
| Adjusted total hours | 4.32726 |
| Total turnover percent | 60.5 |
| Rn turnover percent | 80 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$236,166.00Total fines
2Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-08-29 | Fine | $80,640.00 |
| 2024-11-19 | Fine | $155,526.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
18Health citations
11Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
7
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that residents are free from significant medication errors.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| Ownership Data Not Available | Not reported by CMS |
Helpful resources
Educational information, not medical or legal advice. Data & methodology