Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-17| Ownership | Non profit - Corporation | Certified beds | 72 |
|---|---|---|---|
| Estimated occupancy | 91.8% | Latest inspection | 2024-01-18 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 25.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.71 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.89 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 41.3% | 45.5% | 41.8% |
| Latest health deficiencies | 3 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-17PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-02-17Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-17Immediate-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 2022-03-11Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-11Implement 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 2022-03-11Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-03-11Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-03-11Immediate-jeopardy citations: 0
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-01-04Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-01-04Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-01-04Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-01-04Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-01-04Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What changes were made after inspectors reported actual harm during the 2025-03-17 inspection?
Suggested because of: latest actual harmWhat 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: 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 | 2.34694 |
| Lpn hours | 0.47198 |
| Rn hours | 0.89014 |
| Reported total hours | 3.70906 |
| Weekend total hours | 3.33165 |
| Weekend rn hours | 0.68097 |
| Adjusted total hours | 3.97145 |
| Total turnover percent | 41.3 |
| Rn turnover percent | 31.6 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-03-17 | Fine | $24,252.00 |
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
| Name | Role | Share |
|---|---|---|
| GOSS, JOSEPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| LAIDLER, WALTER | CORPORATE DIRECTOR | NOT APPLICABLE |
| MABE, BEAUFORD | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCRUGGS, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| GILLMAN, LEO | CORPORATE OFFICER | NOT APPLICABLE |
| MCCRANEY, S LOU | CORPORATE OFFICER | NOT APPLICABLE |
| ROBARE, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| VESPA, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| CARPENTERS HOME ESTATES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHAPPEL, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LAYFIELD, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROBARE, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STROZIER, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHAPPEL, CHRISTOPHER | ADP OF THE SNF | NOT APPLICABLE |
| STROZIER, JEFFREY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology