Tag 0628 · Severity F
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-01| Ownership | For profit - Limited Liability company | Certified beds | 126 |
|---|---|---|---|
| Estimated occupancy | 34.9% | Latest inspection | 2025-06-13 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 155.5 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.59 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.58 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 47.5% | 50.7% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 2
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-01Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-08-01Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-01PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-08-01Provide 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 2025-08-01Provide 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 2025-08-01Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-01Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-01Protect 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 2025-08-01Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-08-01Immediate-jeopardy citations: 0
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 2023-09-01Honor 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 2023-04-30Procure 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 2023-04-30Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-04-30Make 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 2023-04-30Coordinate 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 2023-06-30Provide 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 2023-04-30Provide 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 2023-04-30Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-09-01Immediate-jeopardy citations: 0
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2021-07-31Procure 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 2021-07-31Develop 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 2021-07-31Implement 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 2021-07-31Reported 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 useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.16722 |
| Lpn hours | 0.83852 |
| Rn hours | 0.58483 |
| Reported total hours | 3.59057 |
| Weekend total hours | 3.2322 |
| Weekend rn hours | 0.39219 |
| Adjusted total hours | 3.90521 |
| Total turnover percent | 47.5 |
| Rn turnover percent | 55.6 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2023-08-28 | Fine | $3,529.00 |
| 2023-08-21 | Fine | $3,176.00 |
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.
3
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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.
| Name | Role | Share |
|---|---|---|
| FLNHO CAPITAL GROUP LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GULFPORT NURSING MEMBER, LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| TAMPA 3 OPCO PARTNERS LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| LANDA, BENJAMIN | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| LANDA, BENJAMIN | CORPORATE OFFICER | NOT APPLICABLE |
| GULFPORT NURSING MEMBER, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HIBNICK, PHILIP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HIBNICK, PHILIP | ADP OF THE SNF | NOT APPLICABLE |
| KORBAJ, RABEE | ADP OF THE SNF | NOT APPLICABLE |
| LANDA, BENJAMIN | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology