Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-11-141201 Se 24Th Rd, Ocala, FL 34471
(352) 732-2449 · Nhs Management
| Ownership | For profit - Limited Liability company | Certified beds | 180 |
|---|---|---|---|
| Estimated occupancy | 93.8% | Latest inspection | 2025-09-18 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 37.0 points | 40.0 points | 38.5 points |
| Total nurse staffing | 3.82 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.38 hours/day | 0.44 hours/day | 0.62 hours/day |
| Staff turnover | 37.8% | 44.6% | 41.8% |
| Latest health deficiencies | 9 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-11-14Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-11-14Coordinate 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 2025-11-14PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-11-14Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-14Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-14Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-11-14Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-11-14Safeguard 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 2025-11-14Immediate-jeopardy citations: 0
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-31PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-31Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-31Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-07-31Procure 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 2024-07-31Safeguard 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 2024-07-31Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-07-31Immediate-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 2023-04-10Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-10Ensure 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 2023-04-10Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-04-10Reported 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 fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.50545 |
| Lpn hours | 0.93515 |
| Rn hours | 0.38281 |
| Reported total hours | 3.82341 |
| Weekend total hours | 3.54651 |
| Weekend rn hours | 0.22052 |
| Adjusted total hours | 4.1102 |
| Total turnover percent | 37.8 |
| Rn turnover percent | 29.4 |
| Administrators left | 0 |
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 |
|---|---|---|
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| ESTES, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| PAGE, RICHARD | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MCVEA, CHERI | CORPORATE DIRECTOR | NOT APPLICABLE |
| RASCO, LYNN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHNEIDER, JULIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| TONEY, DARIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ESTES, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| LONG, PHILLIP | CORPORATE OFFICER | NOT APPLICABLE |
| MCVEA, CHERI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PAGE, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHNEIDER, JULIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TONEY, DARIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology