Tag 0552 · Severity D
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-01| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 98.0% | Latest inspection | 2026-01-29 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 28.0 points | 41.5 points | 38.5 points |
| Total nurse staffing | 3.72 hours/day | 3.63 hours/day | 3.63 hours/day |
| RN staffing | 1.10 hours/day | 0.82 hours/day | 0.62 hours/day |
| Staff turnover | 27.0% | 27.9% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-01Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-01Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-01Provide 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 2026-03-01Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-03-01Immediate-jeopardy citations: 0
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-08-29Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-08-23Honor 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 2024-08-23Honor 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 2024-08-23Ensure 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 2024-08-23Provide 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 2024-08-23Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-08-23Provide 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 2024-08-23Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-08-23Safeguard 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 2024-08-23Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-08-23Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2024-08-23Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-08-23Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-08-23Immediate-jeopardy citations: 0
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 2023-07-28Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-07-28Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-07-28Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-07-28Provide 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 2023-07-28Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.25267 |
| Lpn hours | 0.37135 |
| Rn hours | 1.10083 |
| Reported total hours | 3.72485 |
| Weekend total hours | 3.53825 |
| Weekend rn hours | 1.01108 |
| Adjusted total hours | 3.76701 |
| Total turnover percent | 27 |
| Rn turnover percent | 31 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
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.
0
| Name | Role | Share |
|---|---|---|
| TD SNF HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BRONFELD, ANDREW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| BRONFELD, RACHEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| AGENOR, IVEY | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| ESPINEL, MANUEL | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| AGENOR, IVEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AGENOR, IVEY | ADP OF THE SNF | NOT APPLICABLE |
| ESPINEL, MANUEL | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology