14155 Town Loop Blvd, Orlando, FL 32837
(407) 541-2600 · Sovereign Healthcare Holdings
| Ownership | For profit - Limited Liability company | Certified beds | 116 |
|---|---|---|---|
| Estimated occupancy | 94.1% | Latest inspection | 2024-12-18 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 47.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 4.03 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.76 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 35.6% | 41.7% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-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 2025-01-19Honor 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 2025-01-19Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-01-19Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-01-19Immediate-jeopardy citations: 0
Develop 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 2023-07-31Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-07-31Immediate-jeopardy citations: 0
Implement 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 2021-12-17Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How 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 useWhat 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 | 2.41864 |
| Lpn hours | 0.8498 |
| Rn hours | 0.76056 |
| Reported total hours | 4.029 |
| Weekend total hours | 3.57901 |
| Weekend rn hours | 0.55676 |
| Adjusted total hours | 3.76717 |
| Total turnover percent | 35.6 |
| Rn turnover percent | 55 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2024-11-14 | Fine | $51,545.00 |
| 2024-09-20 | Fine | $7,823.00 |
| 2024-09-20 | Fine | $7,823.00 |
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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Name | Role | Share |
|---|---|---|
| CRONQUIST 2015 FAMILY TR | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MANGINE, JOHN | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BERKADIA COMMERCIAL MORTGAGE LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| FL HUNTERS CREEK HOLDINGS LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| HEALTH SERVICES PROPERTIES LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| CHERY, DAWN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| GERRITY, HENRY | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| KAAR, SUSAN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| CRONQUIST, ROYCE | CORPORATE OFFICER | NOT APPLICABLE |
| KELLY, MICHELLE | CORPORATE OFFICER | NOT APPLICABLE |
| MELTON, DONALD | CORPORATE OFFICER | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRITTON, MARK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JICHA, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MELTON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| FL HUNTERS CREEK HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| FORVIS MAZARS LLP | ADP OF THE SNF | NOT APPLICABLE |
| HEALTH SERVICES PROPERTIES LLC | ADP OF THE SNF | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | ADP OF THE SNF | NOT APPLICABLE |
| BRITTON, MARK | ADP OF THE SNF | NOT APPLICABLE |
| CHERY, DAWN | ADP OF THE SNF | NOT APPLICABLE |
| CRONQUIST, ROYCE | ADP OF THE SNF | NOT APPLICABLE |
| GERRITY, HENRY | ADP OF THE SNF | NOT APPLICABLE |
| JICHA, JOSEPH | ADP OF THE SNF | NOT APPLICABLE |
| KAAR, SUSAN | ADP OF THE SNF | NOT APPLICABLE |
| KELLY, MICHELLE | ADP OF THE SNF | NOT APPLICABLE |
| MANGINE, JOHN | ADP OF THE SNF | NOT APPLICABLE |
| MELTON, DONALD | ADP OF THE SNF | NOT APPLICABLE |
| NOTERMANN, WILLIAM | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology