Tag 0847 · Severity F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2026-01-09At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 40 |
|---|---|---|---|
| Estimated occupancy | 72.5% | Latest inspection | 2025-10-02 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 50.0 points
Total nurse staffing
Facility: 7.48 hours/day
RN staffing
Facility: 0.86 hours/day
Staff turnover
Facility: 27.6%
Latest health deficiencies
Facility: 7 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 50.0 points | 35.0 points | 38.5 points |
| Total nurse staffing | 7.48 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.86 hours/day | 0.51 hours/day | 0.62 hours/day |
| Staff turnover | 27.6% | 46.0% | 41.8% |
| Latest health deficiencies | 7 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-10-02
7 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0848 · Severity F
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies · Deficient, Provider has date of correction 2026-01-09Tag 0732 · Severity E
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2026-01-09Tag 0812 · Severity E
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 2026-01-09Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-01-09Tag 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 2026-01-09Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-01-092024-07-10
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-08-19Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-08-19Tag 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 2024-08-19Tag 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 2024-08-192023-03-16
1 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
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 2023-04-21Staffing composition
4.68 hours/dayNurse aide
1.94 hours/dayLPN
0.86 hours/dayRN
- Total staffing
- 7.48 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 6.58 hours/day
- Staff turnover
- 27.6%
- RN turnover
- 28.6%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
Not reported: cms footnoteunavailableFlorida: 2.1 per 1,000 days · County: 1.8 per 1,000 days20250101-20251231
Emergency-department visits
Not reported: cms footnoteunavailableFlorida: 1.0 per 1,000 days · County: 1.3 per 1,000 days20250101-20251231
Falls with major injury
1.2%betterFlorida: 2.2% · County: 1.8%2025Q2-2026Q1
Pressure ulcers
2.6%betterFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
1.3%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
8.0%worseFlorida: 7.0% · County: 5.1%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How 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
Facility Details
- County
- Lake County
- Certified beds
- 40
- Average daily residents
- 29
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2005-06-28
- CCN
- 106068
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 4.68197 |
| Lpn hours | 1.93848 |
| Rn hours | 0.8601 |
| Reported total hours | 7.48055 |
| Weekend total hours | 6.57967 |
| Weekend rn hours | 0.82167 |
| Adjusted total hours | 8.24614 |
| Total turnover percent | 27.6 |
| Rn turnover percent | 28.6 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
7Health citations
5Fire 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.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| FOLK, AMBER | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAMRICK, JONATHAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| KOROMILAS, SHANNON | CORPORATE DIRECTOR | NOT APPLICABLE |
| PAYTON, DONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| SEAY, RALEIGH | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHULTZ, KENNETH | CORPORATE OFFICER | NOT APPLICABLE |
| DSI MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRISBIE, TAMMI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHULTZ, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DSI MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| CLARK, LOWELL | ADP OF THE SNF | NOT APPLICABLE |
| FRISBIE, TAMMI | ADP OF THE SNF | NOT APPLICABLE |
| SCHULTZ, GREGORY | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology