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 2025-05-30| Ownership | Non profit - Other | Certified beds | 114 |
|---|---|---|---|
| Estimated occupancy | 95.2% | Latest inspection | 2025-04-30 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3.5 of 5 | 3 of 5 |
| Health-inspection score | 30.0 points | 35.0 points | 38.5 points |
| Total nurse staffing | 3.23 hours/day | 3.81 hours/day | 3.63 hours/day |
| RN staffing | 0.53 hours/day | 0.73 hours/day | 0.62 hours/day |
| Staff turnover | 43.8% | 43.8% | 41.8% |
| Latest health deficiencies | 4 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
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 2025-05-30Immediate-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 2023-11-17Honor 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 2023-11-17Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-11-17Develop 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 2023-11-17Provide 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 2023-11-17Immediate-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 2022-01-15Procure 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 2022-01-15Honor 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 2022-01-15Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-01-15Develop 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 2022-01-15Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-15Reported 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 fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.02823 |
| Lpn hours | 0.67229 |
| Rn hours | 0.52767 |
| Reported total hours | 3.22819 |
| Weekend total hours | 3.11665 |
| Weekend rn hours | 0.42306 |
| Adjusted total hours | 3.29207 |
| Total turnover percent | 43.8 |
| Rn turnover percent | 58.8 |
| Administrators left | 1 |
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 |
|---|---|---|
| JAFFE, HOWARD | CORPORATE OFFICER | NOT APPLICABLE |
| KATZ-HALL, KATHY | CORPORATE OFFICER | NOT APPLICABLE |
| MULLARKEY, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| RICHMOND, PENNY | CORPORATE OFFICER | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ELEUS HEALTH MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FI-SANFORD REHAB, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BARR, DYLAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MALDONADO, KIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| ELEUS HEALTH MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | ADP OF THE SNF | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| SELECT REHABILITATION, LLC | ADP OF THE SNF | NOT APPLICABLE |
| BARR, DYLAN | ADP OF THE SNF | NOT APPLICABLE |
| MALDONADO, KIM | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology