Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-06-28 23 deficiencies Highest severity: H
Immediate-jeopardy citations: 0
Tag 0600 · Severity H
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0812 · Severity F
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 2024-07-26
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 2024-07-26
Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0679 · Severity E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0688 · Severity E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0761 · Severity E
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 2024-07-26
Tag 0583 · Severity D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0585 · Severity D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-07-26
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 2024-07-26
Tag 0660 · Severity D
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0676 · Severity D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 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 2024-07-26
Tag 0699 · Severity D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0773 · Severity D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 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 date of correction 2024-07-26
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-07-26
Tag 0925 · Severity D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-07-26
2022-04-01 8 deficiencies Highest severity: G
Immediate-jeopardy citations: 0
Tag 0692 · Severity G
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-05-26
Tag 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 2022-05-01
Tag 0761 · Severity E
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 2022-05-26
Tag 0553 · Severity D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-05-01
Tag 0657 · Severity D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-05-01
Tag 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 2022-05-01
Tag 0867 · Severity D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2022-05-26
Tag 0908 · Severity D
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-05-01
2021-02-12 5 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
Tag 0761 · Severity E
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 2021-03-08
Tag 0582 · Severity D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-03-08
Tag 0583 · Severity D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-03-08
Staffing composition
2.02 hours/dayNurse aide
0.67 hours/dayLPN
0.62 hours/dayRN
Total staffing
3.30 hours/day
County median
3.61 hours/day
Florida median
3.63 hours/day
Weekend total
3.13 hours/day
Staff turnover
51.1%
RN turnover
71.1%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.7 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days 20250101-20251231
Emergency-department visits
0.5 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.7 per 1,000 days 20250101-20251231