Tag 0552 · Severity E
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-16| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 94.7% | Latest inspection | 2024-12-05 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 175.3 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.49 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.59 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 71.9% | 50.7% | 41.8% |
| Latest health deficiencies | 20 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-16Honor 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 2025-01-05Honor 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 2025-01-05PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-05Provide 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 2025-02-16Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-16Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-01-05Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Deficient, Provider has date of correction 2025-02-16Set 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 2025-02-16Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-02-16Honor 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 2025-01-05Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-01-05Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-01-05Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-05Develop 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 2025-01-05Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-01-05Ensure 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 2025-01-05Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-01-05Immediate-jeopardy citations: 0
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 2022-10-15Ensure 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 2022-10-15Immediate-jeopardy citations: 0
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 2021-05-15Honor 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 2021-05-15Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-15Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-15Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat 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 | 2.13054 |
| Lpn hours | 0.76941 |
| Rn hours | 0.59269 |
| Reported total hours | 3.49263 |
| Weekend total hours | 3.24524 |
| Weekend rn hours | 0.38042 |
| Adjusted total hours | 3.55946 |
| Total turnover percent | 71.9 |
| Rn turnover percent | 77.8 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-04-14 | Fine | $40,108.00 |
| 2024-12-05 | Fine | $3,537.00 |
| 2024-12-05 | Fine | $3,900.00 |
| 2024-12-05 | Fine | $4,017.00 |
| 2024-12-05 | Fine | $5,346.00 |
| 2023-12-11 | Fine | $3,728.00 |
| 2023-12-11 | Fine | $4,963.00 |
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Name | Role | Share |
|---|---|---|
| Ownership Data Not Available | Not reported by CMS |
Educational information, not medical or legal advice. Data & methodology