| Ownership | For profit - Limited Liability company | Certified beds | 60 |
|---|---|---|---|
| Estimated occupancy | 80.8% | Latest inspection | 2025-10-02 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 74.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 4.01 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.38 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 58.3% | 50.7% | 41.8% |
| Latest health deficiencies | 11 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-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 2025-11-26Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-11-26Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-11-26Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2025-11-26Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-11-26Coordinate 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 2025-11-26PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-11-26Ensure 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 2025-11-26Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-11-26Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-11-26Safeguard 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 2025-11-26Immediate-jeopardy citations: 0
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-10-20Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-10-20Procure 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 2023-10-20Honor 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 2023-10-20Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-10-20Coordinate 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 2023-10-20Develop 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 2023-10-20Ensure 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 2023-10-20Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-20Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-20Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-10-20Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-10-20Immediate-jeopardy citations: 0
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 2021-10-01Notify 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 2021-10-01Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2021-10-01Procure 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 2021-10-01Implement 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 2021-10-01Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
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 ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.62314 |
| Lpn hours | 1.0075 |
| Rn hours | 0.37964 |
| Reported total hours | 4.01028 |
| Weekend total hours | 3.77589 |
| Weekend rn hours | 0.28311 |
| Adjusted total hours | 4.34489 |
| Total turnover percent | 58.3 |
| Rn turnover percent | 71.4 |
| Administrators left | 3 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
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.
0
| Name | Role | Share |
|---|---|---|
| OAKS ON THE BAY LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SPRING HAVEN RETIREMENT LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| JONES, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| MCCARTHY, TERENCE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95% |
| LYZZAIK, IMAD | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| DAVIS, FRANCES | CORPORATE DIRECTOR | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology