Tag 0686 · Severity G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-05-31At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 90 |
|---|---|---|---|
| Estimated occupancy | 85.8% | Latest inspection | 2024-05-09 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 146.0 points
Total nurse staffing
Facility: 4.15 hours/day
RN staffing
Facility: 0.84 hours/day
Staff turnover
Facility: 45.4%
Latest health deficiencies
Facility: 18 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 146.0 points | 94.0 points | 38.5 points |
| Total nurse staffing | 4.15 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 0.84 hours/day | 0.50 hours/day | 0.62 hours/day |
| Staff turnover | 45.4% | 46.8% | 41.8% |
| Latest health deficiencies | 18 deficiencies | 18 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-05-09
18 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0867 · Severity F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2024-07-18Tag 0584 · Severity E
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 2024-05-31Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-05-31Tag 0684 · Severity E
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 2024-05-31Tag 0761 · Severity E
Ensure 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 2024-05-31Tag 0812 · Severity E
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 2024-05-31Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-05-31Tag 0924 · Severity E
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-05-31Tag 0550 · Severity D
Honor 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 2024-05-31Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-05-31Tag 0694 · Severity D
Provide 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 2024-05-31Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-05-31Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-05-31Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-07-18Tag 0760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-05-31Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-05-312021-12-22
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0688 · Severity D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-14Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-142020-03-13
6 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0760 · Severity E
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-04-06Tag 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 2020-04-06Tag 0689 · Severity D
Ensure 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 2020-04-06Tag 0690 · Severity D
Provide 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 2020-04-06Tag 0761 · Severity D
Ensure 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 2020-04-06Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2020-04-06Staffing composition
2.58 hours/dayNurse aide
0.72 hours/dayLPN
0.84 hours/dayRN
- Total staffing
- 4.15 hours/day
- County median
- 3.73 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.47 hours/day
- Staff turnover
- 45.4%
- RN turnover
- 28.6%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.6 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.2 per 1,000 days20250101-20251231
Emergency-department visits
0.3 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days20250101-20251231
Falls with major injury
2.5%worseFlorida: 2.2% · County: 2.5%2025Q2-2026Q1
Pressure ulcers
2.3%betterFlorida: 4.2% · County: 2.9%2025Q2-2026Q1
Urinary tract infections
3.8%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
5.4%betterFlorida: 7.0% · County: 5.4%2025Q2-2026Q1
These 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 turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryWhat 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
- Highlands County
- Certified beds
- 90
- Average daily residents
- 77.2
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1993-07-01
- CCN
- 105812
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.58262 |
| Lpn hours | 0.72322 |
| Rn hours | 0.84108 |
| Reported total hours | 4.14692 |
| Weekend total hours | 3.46694 |
| Weekend rn hours | 0.60089 |
| Adjusted total hours | 4.01549 |
| Total turnover percent | 45.4 |
| Rn turnover percent | 28.6 |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$17,342.00Total fines
2Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-05-09 | Fine | $4,017.00 |
| 2024-05-09 | Fine | $13,325.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
18Health citations
6Fire 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.
1
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| STROHLI, ELI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| GELDART, DONALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MATHEIS, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GELDART, DONALD | ADP OF THE SNF | NOT APPLICABLE |
| MATHEIS, PAMELA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology