Tag 0725 · Severity E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-10-25| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 83.8% | Latest inspection | 2024-09-27 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 49.0 points | 41.5 points | 38.5 points |
| Total nurse staffing | 3.85 hours/day | 3.63 hours/day | 3.63 hours/day |
| RN staffing | 0.88 hours/day | 0.82 hours/day | 0.62 hours/day |
| Staff turnover | 59.2% | 27.9% | 41.8% |
| Latest health deficiencies | 7 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-10-25Honor 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 2024-10-25Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-25Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-25Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-25Immediate-jeopardy citations: 0
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-08-10Ensure 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 2023-08-10Immediate-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 2022-04-24Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-24Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-24Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-04-24Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-04-24Designate 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 2022-04-24Reported 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 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: penalties| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.15787 |
| Lpn hours | 0.81318 |
| Rn hours | 0.87764 |
| Reported total hours | 3.84868 |
| Weekend total hours | 3.52757 |
| Weekend rn hours | 0.65302 |
| Adjusted total hours | 3.66198 |
| Total turnover percent | 59.2 |
| Rn turnover percent | 71.7 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-04-16 | Fine | $58,835.00 |
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.
2
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Name | Role | Share |
|---|---|---|
| WELLINGTON REHAB HOLDING PARTNERS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| SCHUSTER, RACHEL | CORPORATE OFFICER | NOT APPLICABLE |
| JEROME, GERRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MACFARLANE, KERRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PARNES-DE-LUCE, PEARL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHUSTER, RACHEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHERMAN, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRIEDMAN, LEOPOLD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| LUXE CONSULTING GROUP LLC | ADP OF THE SNF | NOT APPLICABLE |
| MACFARLANE, KERRY | ADP OF THE SNF | NOT APPLICABLE |
| SCHUSTER, RACHEL | ADP OF THE SNF | NOT APPLICABLE |
| SHERMAN, STEVEN | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology