Tag 0582 · Severity E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-27| Ownership | For profit - Individual | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 92.9% | Latest inspection | 2025-02-25 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 94.0 points | 94.0 points | 38.5 points |
| Total nurse staffing | 3.73 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 0.57 hours/day | 0.50 hours/day | 0.62 hours/day |
| Staff turnover | 52.1% | 46.8% | 41.8% |
| Latest health deficiencies | 18 deficiencies | 18 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-27Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-27PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-27Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-27Develop 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 2025-03-27Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-27Ensure 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 2025-03-27Honor 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 2025-03-27Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-27Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-27Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-27Ensure 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 2025-03-27Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-27Ensure 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 2025-03-27Ensure 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 2025-03-27Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-27Immediate-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 2023-02-12Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2023-02-12Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-02-12Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-02-12Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-02-12Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-02-12Immediate-jeopardy citations: 0
Honor 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 2021-05-23Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-05-23Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-23Ensure 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 2021-05-23Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-23Ensure 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 2021-05-23Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Deficient, Provider has date of correction 2021-05-23Reported 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 | 2.16185 |
| Lpn hours | 0.99276 |
| Rn hours | 0.57334 |
| Reported total hours | 3.72795 |
| Weekend total hours | 3.32876 |
| Weekend rn hours | 0.38145 |
| Adjusted total hours | 3.54069 |
| Total turnover percent | 52.1 |
| Rn turnover percent | 71.4 |
| Administrators left | 2 |
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 |
|---|---|---|
| PINE STREET HEATHCARE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| HCFL HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SEBRING HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| FOLLMAN, BEREL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| KURLAND, BENJAMIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LEFKOWITZ, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SEBRING SNF PROPERTY HOLDINGS LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| MONTSDEOCA, GARY | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| SPADOLA, JAMES | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| HCFL HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PINE STREET HEATHCARE HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SPADOLA, JAMES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRIEDMAN, BRIAN | TRUSTEE OF THE SNF | NOT APPLICABLE |
| RAJCHENBACH, AVRUM | TRUSTEE OF THE SNF | NOT APPLICABLE |
| RAJCHENBACH, RIVKA | TRUSTEE OF THE SNF | NOT APPLICABLE |
| SHABAT, AHUVA | TRUSTEE OF THE SNF | NOT APPLICABLE |
| CASCADE CAPITAL HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| CASCADE CAPITAL PARTNERS LLC | ADP OF THE SNF | NOT APPLICABLE |
| CASCASIS LLC | ADP OF THE SNF | NOT APPLICABLE |
| CCG FUTUNA LLC | ADP OF THE SNF | NOT APPLICABLE |
| DOROS GENERATION TRUST | ADP OF THE SNF | NOT APPLICABLE |
| GPN FAMILY TRUST | ADP OF THE SNF | NOT APPLICABLE |
| HANCOCK INVESTMENTS LLC | ADP OF THE SNF | NOT APPLICABLE |
| SEBRING SNF PROPERTY HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| SPIDER REALTY LLC | ADP OF THE SNF | NOT APPLICABLE |
| VICTORIA INVESTORS LLC | ADP OF THE SNF | NOT APPLICABLE |
| GURWITZ, SOLOMON | ADP OF THE SNF | NOT APPLICABLE |
| MONTSDEOCA, GARY | ADP OF THE SNF | NOT APPLICABLE |
| SPADOLA, JAMES | ADP OF THE SNF | NOT APPLICABLE |
| UNGER, JEFFREY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology