Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-16| Ownership | Non profit - Corporation | Certified beds | 213 |
|---|---|---|---|
| Estimated occupancy | 91.6% | Latest inspection | 2025-04-10 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 62.0 points | 24.0 points | 38.5 points |
| Total nurse staffing | 3.97 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 1.00 hours/day | 1.20 hours/day | 0.62 hours/day |
| Staff turnover | 25.8% | 28.1% | 41.8% |
| Latest health deficiencies | 11 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-16PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-16Develop 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 2025-05-16Provide 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 2025-05-16Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-16Set 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 2025-05-16Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-16Immediate-jeopardy citations: 0
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 2023-12-27Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-12-27Immediate-jeopardy citations: 0
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-11-23Procure 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 2022-11-23Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-11-23Honor 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 2022-11-23Set 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 2022-11-23Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat changes were made after inspectors reported actual harm during the 2025-11-13 inspection?
Suggested because of: latest actual harmWhat 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| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.59306 |
| Lpn hours | 0.37676 |
| Rn hours | 0.99585 |
| Reported total hours | 3.96567 |
| Weekend total hours | 3.66208 |
| Weekend rn hours | 0.72364 |
| Adjusted total hours | 4.11379 |
| Total turnover percent | 25.8 |
| Rn turnover percent | 23.7 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-11-13 | Fine | $26,685.00 |
| 2023-11-09 | Fine | $3,728.00 |
| 2023-11-09 | Fine | $3,728.00 |
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.
2
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Name | Role | Share |
|---|---|---|
| ST. ANNE'S NURSING CENTER, ST ANNE'S RESIDENCE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ARCHDIOCESE OF MIAMI INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| FRICK, MARY | CORPORATE OFFICER | NOT APPLICABLE |
| CABEZAS, SANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FERNANDEZ, HERIBERTO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILSON, LAURA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CABEZAS, SANDRA | ADP OF THE SNF | NOT APPLICABLE |
| FERNANDEZ, HERIBERTO | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology