Tag 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 2025-09-23587 Se Ermine Ave, Lake City, FL 32025
(386) 752-7800 · Aston Health
| Ownership | For profit - Corporation | Certified beds | 90 |
|---|---|---|---|
| Estimated occupancy | 97.1% | Latest inspection | 2025-08-14 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | Unavailable | 3 of 5 |
| Health-inspection score | 35.0 points | Unavailable | 38.5 points |
| Total nurse staffing | 3.35 hours/day | Unavailable | 3.63 hours/day |
| RN staffing | 0.32 hours/day | Unavailable | 0.62 hours/day |
| Staff turnover | 62.2% | Unavailable | 41.8% |
| Latest health deficiencies | 7 deficiencies | Unavailable | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
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 2025-09-23Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-23Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-09-23Immediate-jeopardy citations: 0
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-06-13Safeguard 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 2024-06-13Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-06-13Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-06-13Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-06-13Honor 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 2024-06-13Coordinate 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 2024-06-13Develop 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 2024-06-13Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-13Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-13Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-06-13Procure 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 2024-06-13Immediate-jeopardy citations: 0
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 2023-02-21Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-02-21Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How 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 turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.04032 |
| Lpn hours | 0.98468 |
| Rn hours | 0.32318 |
| Reported total hours | 3.34819 |
| Weekend total hours | 3.06721 |
| Weekend rn hours | 0.17682 |
| Adjusted total hours | 3.44673 |
| Total turnover percent | 62.2 |
| Rn turnover percent | 76.5 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| BAYA POINTE OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FRIEDMAN, LEOPOLD | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRANKLIN, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MARTINEZ IRIZARRY, AXEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RUSSELL, ALEXANDER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHEPPARD, LAUREN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GUTMAN, SAMUEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| ACS PRO GLOBAL SOLUTIONS | ADP OF THE SNF | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| BAYA OSPREY MT LLC | ADP OF THE SNF | NOT APPLICABLE |
| BAYA REALTY LLC | ADP OF THE SNF | NOT APPLICABLE |
| CITADEL CONSULTING GROUP | ADP OF THE SNF | NOT APPLICABLE |
| FBO REALTY HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| OSPREY AND BAYA INVESTORS LLC | ADP OF THE SNF | NOT APPLICABLE |
| OSPREY AND BAYA REALTY HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| FRANKLIN, HEATHER | ADP OF THE SNF | NOT APPLICABLE |
| FRIEDMAN, LEOPOLD | ADP OF THE SNF | NOT APPLICABLE |
| GUTMAN, SAMUEL | ADP OF THE SNF | NOT APPLICABLE |
| MARTINEZ IRIZARRY, AXEL | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology