Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-11-21 10 deficiencies Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
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 2024-12-21
Tag 0585 · Severity E
Honor 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 2024-12-21
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 2024-12-21
Tag 0761 · Severity E
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 2024-12-21
Tag 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 2024-12-21
Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-21
Tag 0806 · Severity D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-12-21
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-12-21
2022-09-21 1 deficiencies Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
2021-04-22 7 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
Tag 0623 · Severity E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-05-22
Tag 0688 · Severity E
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 2021-05-22
Tag 0759 · Severity E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-05-22
Tag 0625 · Severity D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-05-22
Tag 0690 · Severity D
Provide 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 2021-05-22
Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-22
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 2021-05-22
Staffing composition
2.18 hours/dayNurse aide
0.86 hours/dayLPN
0.44 hours/dayRN
Total staffing
3.49 hours/day
County median
3.58 hours/day
Florida median
3.63 hours/day
Weekend total
3.28 hours/day
Staff turnover
48.0%
RN turnover
70.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.3 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 1.6 per 1,000 days 20250101-20251231
Emergency-department visits
0.6 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 corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse icon
What caused the immediate-jeopardy citation from 2026-02-12, and how was it corrected?
Suggested because of: latest immediate jeopardy
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffing
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnover
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injury
Facility Details
County
Pasco County
Certified beds
120
Average daily residents
108.1
Ownership
For profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
2008-11-25
CCN
106079
Staffing Data
Reported measure
Value
Nurse aide hours
2.18444
Lpn hours
0.85944
Rn hours
0.44484
Reported total hours
3.48872
Weekend total hours
3.28009
Weekend rn hours
0.32185
Adjusted total hours
3.35439
Total turnover percent
48
Rn turnover percent
70
Administrators left
1
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$26,685.00Total fines
1Number of fines
0Payment denials
Date
Type
Amount
2026-02-12
Fine
$26,685.00
Totals reflect the supplied CMS records, not a lifetime total.
Citations
10Health citations
3Fire 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.
3
2026-02-12 · J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2026-02-12 · J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-05-01 · G
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.