Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction 2026-07-2016529 Se 86Th Belle Meade Circle, The Villages, FL 32162
(352) 385-8200 · Gold Fl Trust II
| Ownership | For profit - Limited Liability company | Certified beds | 68 |
|---|---|---|---|
| Estimated occupancy | 96.0% | Latest inspection | 2026-06-18 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | Unavailable | 3 of 5 |
| Health-inspection score | 32.0 points | Unavailable | 38.5 points |
| Total nurse staffing | 4.33 hours/day | Unavailable | 3.63 hours/day |
| RN staffing | 0.71 hours/day | Unavailable | 0.62 hours/day |
| Staff turnover | 53.2% | Unavailable | 41.8% |
| Latest health deficiencies | 6 deficiencies | Unavailable | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction 2026-07-20Coordinate 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 plan of correction 2026-07-20Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction 2026-07-20Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction 2026-07-20Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Deficient, Provider has plan of correction 2026-07-20Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has plan of correction 2026-07-20Immediate-jeopardy citations: 0
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Deficient, Provider has date of correction 2025-03-10Safeguard 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 2025-03-10Immediately 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 2025-03-10Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-10Develop 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 2025-03-10Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-10Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-03-10Ensure 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 2025-03-10Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-10Immediate-jeopardy citations: 0
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-11-24Safeguard 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 2023-11-24Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-11-24Develop 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 2023-11-24Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-11-24Ensure 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 2023-11-24Ensure 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 2023-11-24Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-11-24Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What 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 does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.54334 |
| Lpn hours | 1.08011 |
| Rn hours | 0.7101 |
| Reported total hours | 4.33355 |
| Weekend total hours | 3.81774 |
| Weekend rn hours | 0.55864 |
| Adjusted total hours | 3.54439 |
| Total turnover percent | 53.2 |
| Rn turnover percent | 36.4 |
| Administrators left | 0 |
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 |
|---|---|---|
| THE CLUB SNF HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FL MASTER OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| PALMER, DEVON | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| SHELBY, JACK | CORPORATE OFFICER | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology