Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arbor Trail Rehab And Skilled Nursing Center during CMS and state inspections, most recent first.
Surveyors found multiple instances of improper food storage and labeling, including undated and expired ready-to-eat items, unpackaged meat without identifiers, and deteriorated produce. Additionally, a kitchen cart with soiled items was found obstructing the handwashing sink, all in violation of facility policy and professional standards.
The facility did not ensure accurate MDS assessments for two residents: one was incorrectly documented as having pneumonia, and another's ongoing prophylactic antibiotic use was not recorded, despite supporting documentation and staff awareness.
A resident received IV Meropenem via a PICC line without the LPN first aspirating for blood return to verify line patency, contrary to facility policy and professional standards. The LPN stated aspiration was not required unless ordered by a physician, while nursing leadership confirmed that aspiration should always be performed before flushing and medication administration.
Physicians and a nurse practitioner declined pharmacist recommendations to reevaluate or discontinue certain medications for two residents, including antibiotics, appetite stimulants, and duplicate beta-blockers, but did not document any rationale for their decisions in the medical records as required by facility policy and CMS guidelines.
Nurse staffing information was not updated daily, as required, with the posted report reflecting an outdated date. The Administrator confirmed the expectation for daily updates.
Improper Food Storage, Labeling, and Kitchen Sanitation
Penalty
Summary
Surveyors observed multiple instances of improper food storage and labeling in the facility's kitchen. During an initial tour, three ready-to-eat chicken sandwiches were found in a bag with a date label indicating they were prepared six days prior, and eight pieces of unpackaged meat were stored together without any identifier label or date. Additionally, two plates of salad containing lettuce, tomato, eggs, and ham were labeled with a date four days prior to the observation. Brown-stained bananas and an opened bag of pasta were found in dry storage, and poultry was stored in the freezer without any identifier label or date. On a subsequent tour, a three-tiered kitchen cart was found obstructing the handwashing sink and eyewash station. The cart contained soiled oven mitts, an unlabeled and uncovered empty drinking cup, and a green bucket with liquid and a rag, placed next to three bags of hamburger buns. Staff interviews confirmed that these storage and labeling practices, as well as the obstruction of the handwashing sink, were not in accordance with facility policy or professional standards. The facility's policy requires proper labeling, dating, and timely disposal of food items, which was not followed in these instances.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents. For one resident, the MDS assessment incorrectly documented a diagnosis of pneumonia under active infections, despite the resident stating she had never had pneumonia while in the facility. This was confirmed by the Infection Preventionist, and the MDS Registered Nurse acknowledged the discrepancy, stating that the assessment needed revision. The nurse also indicated that there was no specific facility policy for this process, but that the Resident Assessment Instrument (RAI) was followed. For another resident, the MDS assessment failed to indicate the use of antibiotics, even though physician orders and the care plan documented ongoing prophylactic antibiotic therapy for a urinary infection. The MDS Registered Nurse confirmed awareness of the resident's antibiotic use and acknowledged the inaccuracy in the MDS documentation. The Director of Nursing stated that she expected the MDS information regarding antibiotic use to be accurate.
Failure to Verify PICC Line Patency Prior to IV Medication Administration
Penalty
Summary
A deficiency occurred when a Licensed Practical Nurse (LPN) prepared and administered intravenous (IV) Meropenem to a resident with a Peripherally Inserted Central Catheter (PICC) line without first checking for blood return to verify patency of the line. The LPN sanitized and flushed the PICC line with normal saline and initiated the antibiotic infusion, but did not aspirate for blood return prior to flushing or administering the medication. During an interview, the LPN stated that aspiration was only performed if there was a physician order, and otherwise the line was simply flushed before medication administration. Further interviews with the Assistant Director of Nursing and the Director of Nursing confirmed that the facility's protocol and professional standards require checking for patency by aspirating for blood return before flushing and administering medications via a PICC line. Review of the facility's policy also specified that aspiration for blood return is necessary to verify vascular access device patency prior to flushing. The failure to follow this procedure resulted in the resident not receiving IV therapy in accordance with professional standards of practice.
Failure to Document Rationale for Declining Pharmacist Medication Recommendations
Penalty
Summary
The facility failed to ensure that physicians or prescribers documented the rationale for declining pharmacist recommendations regarding unnecessary medications for two residents. In both cases, the consultant pharmacist conducted monthly medication regimen reviews and made specific recommendations to reevaluate or discontinue certain medications due to potential risks or duplicative therapy. However, the physicians or nurse practitioner declined these recommendations without providing any documented rationale in the residents' medical records, despite signing the forms. For one resident, the pharmacist recommended reevaluating and possibly discontinuing nitrofurantoin, which had been used for urinary tract infection prophylaxis for several months, citing risks such as pulmonary fibrosis and hepatotoxicity. The physician declined the recommendation and signed the form but did not document any reason for this decision. In another case, a resident was receiving megestrol for appetite stimulation without a qualifying diagnosis, and the pharmacist recommended discontinuation due to limited benefit and potential adverse effects. The physician again declined without providing a rationale or signature. Additional recommendations to discontinue sucralfate and address duplicate beta-blocker therapy were also declined by the nurse practitioner without documented explanations. During an interview, the Director of Nursing confirmed that prescribers are expected to provide a rationale when declining pharmacist recommendations, but this was not done in these instances. Review of the facility's policy indicated that prescribers should document their rationale for rejecting pharmacist recommendations in the medical record, in accordance with CMS guidelines. The lack of documentation for the rationale behind declining these recommendations constituted the deficiency.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing information was posted on a daily basis as required. During an observation, the nurse staffing information displayed at the receptionist desk was found to be dated two days prior, rather than reflecting the current date. This was confirmed through an interview with the Administrator, who acknowledged that the nurse staffing report should be updated daily. No information about specific residents or their medical conditions was included in the report.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 107 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Inverness
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Citrus Health And Rehabilitation Center | 1 mi | ★★★★★ | 0 | 0 |
| Avante At Inverness Inc | 1.1 mi | ★★★★★ | 0 | 0 |
| Grove Healthcare And Rehabilitation Center And Reh | 7.2 mi | ★★★★★ | 0 | 0 |
| Aviata At Brentwood | 8.8 mi | ★★★★★ | 6 | 0 |
| Life Care Center Of Citrus County | 9.4 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.