CMS Special Focus status: SFF Candidate
For-profit

Shores Nursing and Rehab Center

220 Ninth Street, Port Saint Joe, FL 32456

(850) 229-8244 · Eliyahu Mirlis

1CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
1 of 5Overall
1 of 5Health inspections
3 of 5Staffing
3 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds120
Estimated occupancy82.3%Latest inspection2025-05-08

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 1 of 5
worse
Health-inspection score
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 392.3 points
worse
Total nurse staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 3.34 hours/day
worse
RN staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 0.49 hours/day
worse
Staff turnover
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 52.6%
worse
Latest health deficiencies
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 14 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating1 of 5Unavailable3 of 5
Health-inspection score392.3 pointsUnavailable38.5 points
Total nurse staffing3.34 hours/dayUnavailable3.63 hours/day
RN staffing0.49 hours/dayUnavailable0.62 hours/day
Staff turnover52.6%Unavailable41.8%
Latest health deficiencies14 deficienciesUnavailable6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-05-08
14 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 0565 · Severity D

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-06-23

Tag 0584 · Severity D

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 2025-06-23

Tag 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 2025-06-23

Tag 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 2025-06-23

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 2025-06-23

Tag 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 2025-06-23

Tag 0760 · Severity D

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-06-23

Tag 0883 · Severity D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-06-23

Tag 0887 · Severity D

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-06-23

Tag 0914 · Severity D

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Environmental Deficiencies · Deficient, Provider has date of correction 2025-06-23
2024-02-02
26 deficiencies
Highest severity: L

Immediate-jeopardy citations: 5

Tag 0835 · Severity L

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0867 · Severity L

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 2024-03-24

Tag 0880 · Severity L

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0908 · Severity L

Keep all essential equipment working safely.

Environmental Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0945 · Severity L

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0656 · Severity G

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 2024-03-24

Tag 0676 · Severity G

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0584 · Severity F

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 2024-03-24

Tag 0851 · Severity F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0755 · Severity E

Provide 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 2024-03-24

Tag 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 2024-03-24

Tag 0842 · Severity E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0578 · Severity D

Honor 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 2024-03-24

Tag 0657 · Severity D

Develop 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 2024-03-24

Tag 0685 · Severity D

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-24

Tag 0727 · Severity D

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-03-24

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 2024-03-24

Tag 0925 · Severity D

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies · Deficient, Provider has date of correction 2024-03-24
2022-08-31
0 deficiencies
Highest severity: Not reported by CMS

Immediate-jeopardy citations: 0

No matching citation detail was published.

Staffing composition

2.11 hours/dayNurse aide
0.74 hours/dayLPN
0.49 hours/dayRN
Total staffing
3.34 hours/day
County median
Unavailable
Florida median
3.63 hours/day
Weekend total
3.31 hours/day
Staff turnover
52.6%
RN turnover
62.5%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

2.2 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: Unavailable
20250101-20251231

Emergency-department visits

1.9 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: Unavailable
20250101-20251231

Falls with major injury

5.9%worseFlorida: 2.2% · County: Unavailable
2025Q2-2026Q1

Pressure ulcers

4.6%worseFlorida: 4.2% · County: Unavailable
2025Q2-2026Q1

Urinary tract infections

1.5%unavailableFlorida: 0.0% · County: Unavailable
2025Q2-2026Q1

Antipsychotic medication use

13.7%worseFlorida: 7.0% · County: Unavailable
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
  1. What improvements is the facility making in response to its Special Focus status?

    Suggested because of: special focus
  2. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  3. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  4. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  5. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers

Facility Details

County
Gulf County
Certified beds
120
Average daily residents
98.8
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1983-06-15
CCN
105435

Staffing Data

Reported measureValue
Nurse aide hours2.11332
Lpn hours0.73665
Rn hours0.48521
Reported total hours3.33518
Weekend total hours3.31222
Weekend rn hours0.40305
Adjusted total hours3.97206
Total turnover percent52.6
Rn turnover percent62.5
Administrators left2

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$137,446.00Total fines
1Number of fines
0Payment denials
DateTypeAmount
2024-02-02Fine$137,446.00

Totals reflect the supplied CMS records, not a lifetime total.

Citations

14Health citations
11Fire 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.

7

2024-02-02 · L

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2024-02-02 · L

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-02-02 · L

Provide and implement an infection prevention and control program.

2024-02-02 · L

Keep all essential equipment working safely.

2024-02-02 · L

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

2024-02-02 · G

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-02-02 · G

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Ownership & Operators

NameRoleShare
220 NINTH ST PORT ST JOE HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
NEW HORIZON HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MIRLIS, ELIYAHU5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MIRLIS, ELIYAHUCORPORATE OFFICERNOT APPLICABLE
HARRISON, JACKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
THORNGREN III, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HARRISON, JACKADP OF THE SNFNOT APPLICABLE
THORNGREN III, DANIELADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology