Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-06-24 10 deficiencies Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
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 2024-07-24
Tag 0882 · Severity F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0908 · Severity F
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0636 · Severity D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0655 · Severity D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0657 · Severity D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-24
Tag 0758 · Severity D
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 2024-07-24
2022-08-11 19 deficiencies Highest severity: G
Immediate-jeopardy citations: 0
Tag 0697 · Severity G
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-09-11
Tag 0550 · Severity D
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 2022-09-11
Tag 0582 · Severity D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-09-11
Tag 0623 · Severity D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-09-11
Tag 0625 · Severity D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-09-11
Tag 0688 · Severity D
Provide 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 2022-09-11
Tag 0758 · Severity D
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 2022-09-11
Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-09-11
Tag 0761 · Severity D
Ensure 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 2022-09-11
Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-09-11
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-09-11
2021-03-26 5 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
Tag 0695 · Severity E
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-04-23
Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-04-23
Tag 0656 · Severity D
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 2021-04-23
Tag 0800 · Severity D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-04-23
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-04-23
Staffing composition
2.18 hours/dayNurse aide
0.84 hours/dayLPN
0.49 hours/dayRN
Total staffing
3.51 hours/day
County median
3.52 hours/day
Florida median
3.63 hours/day
Weekend total
3.37 hours/day
Staff turnover
43.5%
RN turnover
40.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.6 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days 20250101-20251231
Emergency-department visits
1.8 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days 20250101-20251231
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What changes were made after inspectors reported actual harm during the 2025-06-24 inspection?
Suggested because of: latest actual harm
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffing
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injury
How does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcers
What operational changes followed the facility's most recent penalty?
Suggested because of: penalties
Facility Details
County
Polk County
Certified beds
100
Average daily residents
83.1
Ownership
For profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
2006-03-15
CCN
106069
Staffing Data
Reported measure
Value
Nurse aide hours
2.17753
Lpn hours
0.83701
Rn hours
0.49485
Reported total hours
3.50939
Weekend total hours
3.37465
Weekend rn hours
0.3952
Adjusted total hours
3.47236
Total turnover percent
43.5
Rn turnover percent
40
Administrators left
0
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$46,800.00Total fines
1Number of fines
0Payment denials
Date
Type
Amount
2025-04-30
Fine
$46,800.00
Totals reflect the supplied CMS records, not a lifetime total.
Citations
10Health citations
15Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
3
2025-06-24 · G
Honor 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.
2025-04-30 · G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2022-08-11 · G
Provide safe, appropriate pain management for a resident who requires such services.
Ownership & Operators
Name
Role
Share
MFI HEALTHCARE FL LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
ECM HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
NIEDERMAN, ANSHEL
MANAGING CONTROL - GOVERNING BODY
NOT APPLICABLE
NIEDERMAN, ANSHEL
CORPORATE OFFICER
NOT APPLICABLE
DEAN, BYRON
OPERATIONAL/MANAGERIAL CONTROL
NOT APPLICABLE
SPADOLA, CARA
OPERATIONAL/MANAGERIAL CONTROL
NOT APPLICABLE
EISEN, MENASHE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
NOT APPLICABLE
PHILIPSON, BENT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
NOT APPLICABLE
PHILIPSON, GABRIELLE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
NOT APPLICABLE
PHILIPSON, RAQUEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF