Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-06-261114 Chatman Blvd, Brooksville, FL 34601
(352) 796-6701 · Health Services Management
| Ownership | Non profit - Corporation | Certified beds | 180 |
|---|---|---|---|
| Estimated occupancy | 78.3% | Latest inspection | 2026-05-21 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 33.0 points | 40.5 points | 38.5 points |
| Total nurse staffing | 3.60 hours/day | 3.47 hours/day | 3.63 hours/day |
| RN staffing | 0.45 hours/day | 0.44 hours/day | 0.62 hours/day |
| Staff turnover | 55.9% | 42.7% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 9.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-06-26Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-06-26Coordinate 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 2026-06-26Develop 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 2026-06-26Provide 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 2026-06-26Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-26Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2026-06-26Safeguard 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 2026-06-26Immediate-jeopardy citations: 0
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-01-24Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-24Develop 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 2025-01-24Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-01-24Ensure 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 2025-01-24Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-01-24Immediate-jeopardy citations: 4
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 2023-10-10Ensure 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 date of correction 2023-10-10Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2023-10-10Set 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 2023-10-10Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-10-10Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-10-18Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-10-18Reported 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 injuryWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.19767 |
| Lpn hours | 0.94963 |
| Rn hours | 0.44921 |
| Reported total hours | 3.59651 |
| Weekend total hours | 3.23062 |
| Weekend rn hours | 0.37715 |
| Adjusted total hours | 3.58908 |
| Total turnover percent | 55.9 |
| Rn turnover percent | 47.6 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2023-09-22 | Fine | $37,811.00 |
| 2023-09-22 | Payment Denial | Not reported |
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.
4
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
| Name | Role | Share |
|---|---|---|
| HEALTH SERVICES MANAGEMENT, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| NATIONAL HEALTH INVESTORS, INC. | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAXTER, KEVIN | CORPORATE OFFICER | NOT APPLICABLE |
| FISHER, SCOTT | CORPORATE OFFICER | NOT APPLICABLE |
| JACKSON, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| SHATZ, JIM | CORPORATE OFFICER | NOT APPLICABLE |
| WHITE, JOSHUA | CORPORATE OFFICER | NOT APPLICABLE |
| HEALTH SERVICES MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAXTER, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FISHER, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JACKSON, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHATZ, JIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WHITE, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | ADP OF THE SNF | NOT APPLICABLE |
| KOLLI, ANITHA | ADP OF THE SNF | NOT APPLICABLE |
| PEDERSEN, CANDY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology