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 2026-06-16At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 223 |
|---|---|---|---|
| Estimated occupancy | 90.5% | Latest inspection | 2026-05-08 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 31.0 points
Total nurse staffing
Facility: 3.59 hours/day
RN staffing
Facility: 0.51 hours/day
Staff turnover
Facility: 71.2%
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 | 31.0 points | 43.0 points | 38.5 points |
| Total nurse staffing | 3.59 hours/day | 3.59 hours/day | 3.63 hours/day |
| RN staffing | 0.51 hours/day | 0.40 hours/day | 0.62 hours/day |
| Staff turnover | 71.2% | 60.9% | 41.8% |
| Latest health deficiencies | 7 deficiencies | 9 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-05-08
7 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0580 · Severity D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-06-16Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-06-16Tag 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 2026-06-16Tag 0697 · Severity D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-16Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-06-162024-12-05
5 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2025-01-05Tag 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 2025-01-05Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-05Tag 0693 · Severity D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-01-05Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-01-052023-08-24
16 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 2023-10-02Tag 0761 · Severity E
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 2023-10-02Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-10-02Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-10-02Tag 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 2023-10-02Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-02Tag 0693 · Severity D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-02Tag 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 2023-10-02Tag 0755 · Severity D
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 2023-10-02Tag 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 2023-10-02Tag 0814 · Severity D
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-10-02Tag 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 2023-10-02Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-10-02Staffing composition
2.10 hours/dayNurse aide
0.98 hours/dayLPN
0.51 hours/dayRN
- Total staffing
- 3.59 hours/day
- County median
- 3.59 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.37 hours/day
- Staff turnover
- 71.2%
- RN turnover
- 62.1%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.1 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days20250101-20251231
Emergency-department visits
1.1 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days20250101-20251231
Falls with major injury
3.5%worseFlorida: 2.2% · County: 2.2%2025Q2-2026Q1
Pressure ulcers
4.8%worseFlorida: 4.2% · County: 5.2%2025Q2-2026Q1
Urinary tract infections
0.5%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
1.1%betterFlorida: 7.0% · County: 2.5%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 many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat 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 ulcersWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties
Facility Details
- County
- Alachua County
- Certified beds
- 223
- Average daily residents
- 201.9
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2022-03-18
- CCN
- 106149
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.10142 |
| Lpn hours | 0.97914 |
| Rn hours | 0.50823 |
| Reported total hours | 3.58879 |
| Weekend total hours | 3.36756 |
| Weekend rn hours | 0.41622 |
| Adjusted total hours | 4.06585 |
| Total turnover percent | 71.2 |
| Rn turnover percent | 62.1 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$5,678.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2023-08-24 | Fine | $5,678.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
7Health citations
8Fire 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 |
|---|---|---|
| ALACHUA 223, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ALACHUA COUNTY HRC, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| AWRT ALACHUA LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| CRK ALACHUA LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| JNK SBK III ALACHUA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LP DESIGNS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MVS ALACHUA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ANDY WILKES RETIREMENT TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| CHARLOTTE R. KELLETT GST TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% |
| JNK SBK III GST TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% |
| MARGARET V SMITH GST TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% |
| PARTEE, LESLIE | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BRANCH BANKING AND TRUST COMPANY | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| PARTEE, LESLIE | CORPORATE OFFICER | NOT APPLICABLE |
| CLEAR CHOICE HEALTH CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SBK LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PARTEE, LESLIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PARTEE, LESLIE | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology