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 2025-10-31| Ownership | Non profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | Not reported by CMS | Latest inspection | 2025-10-02 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 6.0 points | 27.0 points | 38.5 points |
| Total nurse staffing | Not reported by CMS | 3.56 hours/day | 3.63 hours/day |
| RN staffing | Not reported by CMS | 0.53 hours/day | 0.62 hours/day |
| Staff turnover | 52.9% | 48.2% | 41.8% |
| Latest health deficiencies | 1 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-10-31Immediate-jeopardy citations: 0
Honor 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 2023-11-23Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-11-23Provide 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 2023-11-23Immediate-jeopardy citations: 0
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-16Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-01-16Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | Not reported by CMS |
| Lpn hours | Not reported by CMS |
| Rn hours | Not reported by CMS |
| Reported total hours | Not reported by CMS |
| Weekend total hours | Not reported by CMS |
| Weekend rn hours | Not reported by CMS |
| Adjusted total hours | Not reported by CMS |
| Total turnover percent | 52.9 |
| Rn turnover percent | 53.3 |
| Administrators left | 1 |
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 |
|---|---|---|
| BARBER JR, JOHN W | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOECKELBERG, DEBORAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| POTGIETER, RETHA | CORPORATE OFFICER | NOT APPLICABLE |
| BARBER JR, JOHN W | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ENGELKES, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FLETCHALL, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOECKELBERG, DEBORAH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| POTGIETER, RETHA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BARBER JR, JOHN W | ADP OF THE SNF | NOT APPLICABLE |
| ENGELKES, BARBARA | ADP OF THE SNF | NOT APPLICABLE |
| FLETCHALL, MARY | ADP OF THE SNF | NOT APPLICABLE |
| HOECKELBERG, DEBORAH | ADP OF THE SNF | NOT APPLICABLE |
| POTGIETER, RETHA | ADP OF THE SNF | NOT APPLICABLE |
| SAMARA, DAVID | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology