Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-05-03587 Barton Blvd, Rockledge, FL 32955
(321) 632-6300 · Gold Fl Trust II
| Ownership | For profit - Limited Liability company | Certified beds | 107 |
|---|---|---|---|
| Estimated occupancy | 90.7% | Latest inspection | 2025-04-03 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 50.0 points | 64.0 points | 38.5 points |
| Total nurse staffing | 3.58 hours/day | 3.60 hours/day | 3.63 hours/day |
| RN staffing | 0.41 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 38.9% | 41.6% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 7 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 2025-05-03Honor 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 2025-05-03Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-03Coordinate 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 2025-05-03Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-03Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-03Ensure 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 2025-05-03Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-03Immediate-jeopardy citations: 0
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-08-21Ensure 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 2023-08-31Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2023-08-31Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Deficient, Provider has date of correction 2023-08-21Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-08-21Honor 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 2023-08-21Honor 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 2023-08-21Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-08-21Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-08-21PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-08-21Create 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 2023-08-21Develop 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 2023-08-21Provide 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 2023-08-21Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-08-21Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-08-21Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-08-21Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-08-21Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-08-21Ensure 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 2023-08-21Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-08-21Procure 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 2023-08-21Immediate-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 2021-12-03Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-12-03Honor 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 2021-12-03Reported 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 | 2.23761 |
| Lpn hours | 0.93677 |
| Rn hours | 0.40886 |
| Reported total hours | 3.58325 |
| Weekend total hours | 3.24404 |
| Weekend rn hours | 0.26403 |
| Adjusted total hours | 3.44649 |
| Total turnover percent | 38.9 |
| Rn turnover percent | 64.7 |
| Administrators left | 1 |
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 |
|---|---|---|
| ROCKLEDGE SNF HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FL MASTER OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| MOBLEY, BILL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| SHELBY, JACK | CORPORATE OFFICER | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology