Tag 0689 · Severity J
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 2025-08-082180 10Th Avenue, Vero Beach, FL 32960
(772) 567-5166 · Simcha Hyman & Naftali Zanziper
| Ownership | For profit - Corporation | Certified beds | 72 |
|---|---|---|---|
| Estimated occupancy | 93.6% | Latest inspection | 2025-07-09 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2.5 of 5 | 3 of 5 |
| Health-inspection score | 152.8 points | 59.0 points | 38.5 points |
| Total nurse staffing | 4.03 hours/day | 3.92 hours/day | 3.63 hours/day |
| RN staffing | 0.36 hours/day | 0.49 hours/day | 0.62 hours/day |
| Staff turnover | 51.9% | 51.6% | 41.8% |
| Latest health deficiencies | 13 deficiencies | 9 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 2
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 2025-08-08Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-08-08Procure 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 2025-08-08Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-08Honor 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 2025-08-08Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-08Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-08Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-08Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2025-08-08Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-08-08Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-08Provide 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 2025-08-08Provide 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 2025-08-08Immediate-jeopardy citations: 0
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 2024-04-21Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-04-21Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-21Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-21Provide 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 2024-04-21Immediate-jeopardy citations: 0
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 2023-01-21Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-01-21Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-01-21Provide appropriate foot care.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-21Provide 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 2023-01-21Ensure 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 2023-01-21Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-01-21Implement 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 2023-01-21Ensure 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 2023-01-21Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-01-21Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What caused the immediate-jeopardy citation from 2025-07-09, and how was it corrected?
Suggested because of: latest immediate jeopardyHow 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 turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.52916 |
| Lpn hours | 1.14182 |
| Rn hours | 0.35706 |
| Reported total hours | 4.02805 |
| Weekend total hours | 3.40628 |
| Weekend rn hours | 0.29285 |
| Adjusted total hours | 3.60465 |
| Total turnover percent | 51.9 |
| Rn turnover percent | 62.5 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-07-09 | Fine | $60,225.00 |
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.
2
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
| Name | Role | Share |
|---|---|---|
| ROJAS, EDWIN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| GORELICK, BATYA | CORPORATE OFFICER | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology