CMS abuse icon on record. Review the underlying findings and current information with CMS and the facility. · CMS Special Focus status: SFF Candidate
For-profit

Dade City Health and Rehabilitation Center

37135 Coleman Ave, Dade City, FL 33525

(352) 567-8615 · Simcha Hyman & Naftali Zanziper

1CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
1 of 5Overall
1 of 5Health inspections
3 of 5Staffing
3 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds120
Estimated occupancy90.3%Latest inspection2024-04-25

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
worse
Health-inspection score
Facility: 475.3 points
worse
Total nurse staffing
Facility: 3.51 hours/day
similar
RN staffing
Facility: 0.25 hours/day
worse
Staff turnover
Facility: 44.3%
worse
Latest health deficiencies
Facility: 17 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating1 of 53 of 53 of 5
Health-inspection score475.3 points54.5 points38.5 points
Total nurse staffing3.51 hours/day3.58 hours/day3.63 hours/day
RN staffing0.25 hours/day0.57 hours/day0.62 hours/day
Staff turnover44.3%44.3%41.8%
Latest health deficiencies17 deficiencies8.5 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2024-04-25
17 deficiencies
Highest severity: G

Immediate-jeopardy citations: 0

Tag 0645 · Severity F

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-05-24

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 2024-07-11

Tag 0867 · Severity F

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 2024-07-11

Tag 0880 · Severity F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2024-05-24

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 date of correction 2024-05-24

Tag 0759 · Severity E

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-07-11

Tag 0554 · Severity D

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-05-24

Tag 0641 · Severity D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-05-24

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 2024-05-24

Tag 0686 · Severity D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-05-24

Tag 0755 · Severity D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-05-24

Tag 0770 · Severity D

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies · Deficient, Provider has date of correction 2024-05-24

Tag 0895 · Severity D

Have a Compliance and Ethics Program.

Administration Deficiencies · Deficient, Provider has date of correction 2024-05-24

Tag 0578 · Severity G

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-05-24
2022-02-11
16 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0885 · Severity E

Report COVID19 data to residents and families.

Infection Control Deficiencies · Deficient, Provider has date of correction 2022-03-10

Tag 0886 · Severity E

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies · Deficient, Provider has date of correction 2022-03-10

Tag 0558 · Severity D

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-03-10

Tag 0583 · Severity D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-03-10

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 2022-03-10

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 2022-03-10

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 2022-03-10

Tag 0690 · Severity D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-10

Tag 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 2022-03-10

Tag 0698 · Severity D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-10
2020-11-19
21 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0585 · Severity E

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 2020-12-16

Tag 0812 · Severity E

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 2020-12-16

Tag 0550 · Severity D

Honor 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 2020-12-16

Tag 0583 · Severity D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2020-12-16

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 2020-12-16

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 2020-12-16

Tag 0679 · Severity D

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2020-12-16

Tag 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 2020-12-16

Tag 0700 · Severity D

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2020-12-16

Tag 0758 · Severity D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-12-16

Tag 0804 · Severity D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2020-12-16

Staffing composition

2.17 hours/dayNurse aide
1.09 hours/dayLPN
0.25 hours/dayRN
Total staffing
3.51 hours/day
County median
3.58 hours/day
Florida median
3.63 hours/day
Weekend total
3.28 hours/day
Staff turnover
44.3%
RN turnover
60.0%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

1.2 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.6 per 1,000 days
20250101-20251231

Emergency-department visits

1.4 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days
20250101-20251231

Falls with major injury

4.4%worseFlorida: 2.2% · County: 1.9%
2025Q2-2026Q1

Pressure ulcers

5.3%worseFlorida: 4.2% · County: 5.1%
2025Q2-2026Q1

Urinary tract infections

0.3%unavailableFlorida: 0.0% · County: 0.3%
2025Q2-2026Q1

Antipsychotic medication use

9.4%worseFlorida: 7.0% · County: 5.9%
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
  1. What improvements is the facility making in response to its Special Focus status?

    Suggested because of: special focus
  2. What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?

    Suggested because of: abuse icon
  3. What caused the immediate-jeopardy citation from 2025-12-17, and how was it corrected?

    Suggested because of: latest immediate jeopardy
  4. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  5. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover

Facility Details

County
Pasco County
Certified beds
120
Average daily residents
108.4
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1980-03-11
CCN
105320

Staffing Data

Reported measureValue
Nurse aide hours2.17268
Lpn hours1.08728
Rn hours0.25413
Reported total hours3.5141
Weekend total hours3.27949
Weekend rn hours0.1292
Adjusted total hours4.08604
Total turnover percent44.3
Rn turnover percent60
Administrators left1

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$84,812.00Total fines
5Number of fines
1Payment denials
DateTypeAmount
2025-12-17Fine$8,672.00
2025-12-17Fine$8,673.00
2024-04-25Fine$12,542.00
2024-04-25Fine$15,655.00
2023-10-06Fine$39,270.00
2023-10-06Payment DenialNot reported

Totals reflect the supplied CMS records, not a lifetime total.

Citations

17Health citations
9Fire 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

2025-12-17 · J

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

2025-12-17 · J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-12-17 · J

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2025-12-17 · J

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.

2024-04-25 · G

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

2023-10-06 · J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-10-06 · J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ownership & Operators

NameRoleShare
WARD, JEFFREYW-2 MANAGING EMPLOYEENOT APPLICABLE
GORELICK, BATYACORPORATE OFFICERNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology