Tag 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 2024-04-27Non-profit
Royal Oak Nursing Center
37300 Royal Oak Lane, Dade City, FL 33525
(352) 567-3122 · Health Services Management
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 89.6% | Latest inspection | 2024-03-28 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 35.0 points
Total nurse staffing
Facility: 3.75 hours/day
RN staffing
Facility: 0.70 hours/day
Staff turnover
Facility: 41.2%
Latest health deficiencies
Facility: 7 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 35.0 points | 54.5 points | 38.5 points |
| Total nurse staffing | 3.75 hours/day | 3.58 hours/day | 3.63 hours/day |
| RN staffing | 0.70 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 41.2% | 44.3% | 41.8% |
| Latest health deficiencies | 7 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-03-28
7 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-04-27Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-04-27Tag 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 2024-04-27Tag 0677 · Severity D
Provide 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 2024-04-27Tag 0699 · Severity D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-272022-01-14
6 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0677 · Severity E
Provide 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 2022-02-14Tag 0759 · Severity E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-02-14Tag 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 2022-02-14Tag 0726 · Severity D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-02-14Tag 0758 · Severity D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-02-14Tag 0909 · Severity D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-02-142020-10-15
1 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 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 2020-11-13Staffing composition
2.37 hours/dayNurse aide
0.69 hours/dayLPN
0.70 hours/dayRN
- Total staffing
- 3.75 hours/day
- County median
- 3.58 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.32 hours/day
- Staff turnover
- 41.2%
- RN turnover
- 35.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.2 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.6 per 1,000 days20250101-20251231
Emergency-department visits
0.8 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days20250101-20251231
Falls with major injury
0.3%betterFlorida: 2.2% · County: 1.9%2025Q2-2026Q1
Pressure ulcers
4.4%similarFlorida: 4.2% · County: 5.1%2025Q2-2026Q1
Urinary tract infections
1.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
4.6%betterFlorida: 7.0% · County: 5.9%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
How will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Pasco County
- Certified beds
- 120
- Average daily residents
- 107.5
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1981-05-07
- CCN
- 105385
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.36531 |
| Lpn hours | 0.68712 |
| Rn hours | 0.70248 |
| Reported total hours | 3.7549 |
| Weekend total hours | 3.31822 |
| Weekend rn hours | 0.40209 |
| Adjusted total hours | 4.06362 |
| Total turnover percent | 41.2 |
| Rn turnover percent | 35 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
7Health citations
12Fire 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
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| HEALTH SERVICES MANAGEMENT, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| NATIONAL HEALTH INVESTORS, INC. | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAXTER, KEVIN | CORPORATE OFFICER | NOT APPLICABLE |
| FISHER, SCOTT | CORPORATE OFFICER | NOT APPLICABLE |
| JACKSON, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| SHATZ, JIM | CORPORATE OFFICER | NOT APPLICABLE |
| WHITE, JOSHUA | CORPORATE OFFICER | NOT APPLICABLE |
| HEALTH SERVICES MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FISHER, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GANT, AMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HASHMI, HASEEB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JACKSON, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHATZ, JIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WHITE, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | ADP OF THE SNF | NOT APPLICABLE |
| GANT, AMY | ADP OF THE SNF | NOT APPLICABLE |
| HASHMI, HASEEB | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology