Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-09-26 9 deficiencies Highest severity: J
Immediate-jeopardy citations: 2
Tag 0578 · Severity J
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 · Past Non-Compliance 2025-08-19
Tag 0678 · Severity J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Past Non-Compliance 2025-08-19
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 2025-10-26
Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-10-26
Tag 0640 · Severity D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-10-26
Tag 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 2025-10-26
Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-10-26
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 2025-10-26
Tag 0842 · Severity D
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 2025-10-26
2023-09-14 8 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
Tag 0550 · Severity E
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 2023-10-14
Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-10-14
Tag 0756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-10-14
Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-10-14
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-10-14
2021-08-27 3 deficiencies Highest severity: D
Immediate-jeopardy citations: 0
Tag 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 2021-09-27
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 2021-09-27
Tag 0825 · Severity D
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-27
Staffing composition
2.14 hours/dayNurse aide
0.82 hours/dayLPN
0.72 hours/dayRN
Total staffing
3.68 hours/day
County median
3.58 hours/day
Florida median
3.63 hours/day
Weekend total
3.25 hours/day
Staff turnover
40.6%
RN turnover
12.5%
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 days 20250101-20251231
Emergency-department visits
0.5 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days 20250101-20251231
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What caused the immediate-jeopardy citation from 2025-09-26, and how was it corrected?
Suggested because of: latest immediate jeopardy
What operational changes followed the facility's most recent penalty?
Suggested because of: penalties
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
180
Average daily residents
175.5
Ownership
Non profit - Other
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1986-07-17
CCN
105544
Staffing Data
Reported measure
Value
Nurse aide hours
2.13851
Lpn hours
0.81544
Rn hours
0.72378
Reported total hours
3.67772
Weekend total hours
3.24863
Weekend rn hours
0.41104
Adjusted total hours
3.86086
Total turnover percent
40.6
Rn turnover percent
12.5
Administrators left
1
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$90,650.00Total fines
1Number of fines
0Payment denials
Date
Type
Amount
2025-09-26
Fine
$90,650.00
Totals reflect the supplied CMS records, not a lifetime total.
Citations
9Health 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.
2
2025-09-26 · J
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.
2025-09-26 · J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.