Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-07-29| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 92.3% | Latest inspection | 2026-06-03 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 10.0 points | 9.5 points | 38.5 points |
| Total nurse staffing | 3.80 hours/day | 3.64 hours/day | 3.63 hours/day |
| RN staffing | 0.67 hours/day | 0.68 hours/day | 0.62 hours/day |
| Staff turnover | 51.8% | 49.2% | 41.8% |
| Latest health deficiencies | 2 deficiencies | 1.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-07-29Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-07-29Immediate-jeopardy citations: 0
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-31Immediate-jeopardy citations: 0
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-02-15Honor 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 2024-02-15Develop 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 2024-02-15Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-02-15Reported 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 are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.21085 |
| Lpn hours | 0.91996 |
| Rn hours | 0.66652 |
| Reported total hours | 3.79733 |
| Weekend total hours | 3.35497 |
| Weekend rn hours | 0.46141 |
| Adjusted total hours | 3.94799 |
| Total turnover percent | 51.8 |
| Rn turnover percent | 33.3 |
| 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 |
|---|---|---|
| HAVENS SNF OPERATOR HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| HAVENS ACQUISITION LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| J & M HOLDINGS GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% |
| JEK IRRV TR II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% |
| LABROOK HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| NCS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| NMJ IRRV TR II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% |
| SAMBA HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| THE EDWIN AND MIRIAM ZAGHI JOINT REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| BAMBERGER, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% |
| ZYTMAN, SHMUEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% |
| BAMBERGER, JOSHUA | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| MAYEAUX, DENNIS | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| POINTDEXTER, JAMES | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| ZYTMAN, SHMUEL | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| BAMBERGER, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MAYEAUX, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| POINTDEXTER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ZYTMAN, SHMUEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HAVENS SNF REALTY LLC | ADP OF THE SNF | NOT APPLICABLE |
| SAMBA HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| BAMBERGER, JOSHUA | ADP OF THE SNF | NOT APPLICABLE |
| MAYEAUX, DENNIS | ADP OF THE SNF | NOT APPLICABLE |
| POINTDEXTER, JAMES | ADP OF THE SNF | NOT APPLICABLE |
| ZYTMAN, SHMUEL | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology