At a glance
4 of 5Overall
4 of 5Health inspections
3 of 5Staffing
3 of 5Resident quality
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Health-inspection score
betterTotal nurse staffing
similarLatest health deficiencies
similarView data table
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-07-24
6 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0609 · Severity D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2025-10-25Tag 0655 · Severity D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-10-25Tag 0656 · Severity D
Develop 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 2025-10-252024-04-11
3 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-05-10Tag 0661 · Severity D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-05-10Tag 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 2024-05-102023-02-23
1 deficiencies
Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
Staffing composition
2.15 hours/dayNurse aide
0.98 hours/dayLPN
0.67 hours/dayRN
- Total staffing
- 3.80 hours/day
- County median
- 3.75 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.24 hours/day
- Staff turnover
- 48.6%
- RN turnover
- 50.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.4 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days
20250101-20251231Emergency-department visits
1.7 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.7 per 1,000 days
20250101-20251231Falls with major injury
1.0%betterFlorida: 2.2% · County: 2.4%
2025Q2-2026Q1Pressure ulcers
7.7%worseFlorida: 4.2% · County: 4.7%
2025Q2-2026Q1Urinary tract infections
1.0%unavailableFlorida: 0.0% · County: 0.8%
2025Q2-2026Q1Antipsychotic medication use
18.3%worseFlorida: 7.0% · County: 7.0%
2025Q2-2026Q1These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat 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
Facility Details
- County
- Leon County
- Certified beds
- 101
- Average daily residents
- 92.9
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2020-05-28
- CCN
- 106140
Staffing Data
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$6,380.00Total fines
1Number of fines
0Payment denials
Totals reflect the supplied CMS records, not a lifetime total.
Citations
6Health citations
7Fire 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
Educational information, not medical or legal advice. Data & methodology