Average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aspire At Ridge Haven during CMS and state inspections, most recent first.
Medication Administration Errors Exceeded Allowed Rate. During observed med passes, an LPN gave a resident folic acid at a dose that did not match the order, and an RN administered one med late while two other ordered meds were not documented as given for another resident. The facility recorded four errors in 32 opportunities, resulting in a 12.5% med error rate, above the allowed threshold.
Failure to Ensure Outpatient Transport: A cognitively intact resident with multiple orthopedic and medical diagnoses was not successfully transported to specialty follow-up appointments. Records and interviews showed repeated transport attempts failed because her wheelchair would not fit in the vehicle and a stretcher could not be loaded, while the resident stated she did not refuse the appointment and had not been updated on her orthopedic follow-up after a leg fracture. Staff also documented no completed rheumatology follow-up despite prior scheduling attempts.
Lack of Private Phone Access: A resident was observed making personal calls at the nursing station and stated she did not want to use the phone there because others could hear her. She had requested a phone in her room so she could make and receive calls privately, but staff reported the room phone did not work because the line was not functional. Interviews with an LPN, the Maintenance Director, and the NHA confirmed the resident’s request and that the facility lacked a policy for this issue.
PASRR Level II Not Submitted for Resident With Multiple Mental Health Diagnoses: A resident with dementia, depression, anxiety, psychotic disorder, and schizoaffective disorder did not receive a Level II PASRR evaluation. The SSD said the resident’s PASRR was reviewed and updated after new diagnoses and symptoms were noted, but Level II was not submitted because the episode was considered short-term and the resident returned to baseline.
A resident with intact cognition and diagnoses involving the head, face, and neck had a care plan noting a communication problem due to hard of hearing, but it was not updated to address hearing aid use or reported problems with the hearing aids. The resident stated the hearing aids were not working, while the CNA and RN were unaware of the issue; the MDS coordinator, SSD, and DON stated hearing aids should be included in the care plan.
Failure to Provide Individualized Activities: A resident with dementia, anxiety, mood disorder, depression, altered mental status, and CKD was bedfast or preferred to stay in the room, yet family and staff reported little to no 1:1 activity engagement. The resident’s preferences included music, books, and favorite activities, but records showed no documented 1:1 activity attendance, inconsistent activity documentation, and a care plan that still listed bingo despite the resident no longer liking it.
A resident with a severe, worsening rash was observed scratching continuously with redness, bumps, and open scarring, while staff did not promptly complete a CIC, notify the MD, or enter the dermatology consult that was discussed. In a separate issue, another resident’s ordered ophthalmic antibiotic for a left eye infection was not provided as prescribed because the medication was not received from the pharmacy and staff did not promptly obtain an alternative order.
A resident with asthma, chronic respiratory failure with hypoxia, and COPD had a nebulizer mask observed lying exposed and unbagged on the nightstand on two occasions. An LPN stated the mask should be stored in a bag when not in use and said she had not given the resident a nebulizer treatment the prior day or that day. The DON stated nebulizer masks are expected to be kept in a dated bag and changed weekly per facility policy.
Inaccurate medication administration documentation was found for two residents. One resident’s nebulizer treatment was documented as given even though an LPN said it was not administered because the resident was in activities. Another resident’s eye ointment was documented as administered on the EMAR, but an LPN stated the medication never arrived at the facility and the charting was inaccurate. The DON stated nurses were expected to document accurately and not falsely document in the medical record.
The facility failed to adhere to professional standards in medication administration and documentation, affecting several residents. Blood pressures were not documented before administering blood pressure medication for two residents, and blood sugar levels were inconsistently recorded for two diabetic residents. Additionally, insulin and other diabetic medications were often administered late or not documented for two residents, raising concerns about diabetes management.
A resident with ESRD missed scheduled dialysis treatments due to the facility's failure to arrange transportation during an evacuation. The facility did not notify the healthcare proxy or physician of the missed treatments, leading to a wellness check by law enforcement. The resident was admitted to an acute care facility for dialysis after missing appointments. The facility's lack of communication and coordination with the dialysis center contributed to the deficiency.
A facility failed to accurately document the administration of oxyCODONE-Acetaminophen for a resident with chronic pain syndrome, resulting in discrepancies between the MAR and Control Records. The MAR showed 12 doses administered, while Control Records indicated 18 doses and 2 wasted tablets. Interviews revealed inconsistent documentation practices among LPNs, and illegible signatures on records hindered accountability. The DON confirmed the need for legible documentation and proper record-keeping.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to ensure the medication error rate was less than 5.00%. During 32 observed medication administration opportunities, four errors were identified for two residents, resulting in a 12.5% medication error rate. One error involved a nurse administering Folic Acid 800 micrograms to a resident whose physician order was for Folic acid one milligram, one tablet by mouth in the morning for supplement. Additional errors were observed during medication administration for another resident. An RN administered Gabapentin 600 mg at 10:01 a.m. even though the MAR showed it was due at 8:00 a.m., and the MAR did not document Methocarbamol 75 mg or Oxycodone HCL 20 mg as administered. The facility’s medication administration policy stated medications are to be given in accordance with prescriber orders, within one hour of the prescribed time unless otherwise specified, and the MAR is to be initialed after each medication is given.
Failure to Ensure Transportation to Outpatient Appointments
Penalty
Summary
The facility failed to provide a resident with a dignified existence by not ensuring transportation to outpatient appointments was successfully arranged and completed. The resident was cognitively intact with a BIMS score of 15 and had multiple diagnoses including a broken internal left knee prosthesis, a displaced bicondylar fracture of the left tibia, chronic respiratory failure with hypoxia, COPD, morbid obesity, and rheumatoid arthritis. She stated she had also been referred to a rheumatologist to rule out lupus because of symptoms including hot spots on her upper extremities and a red butterfly appearance across her face. The resident’s record showed an appointment with a rheumatologist had been scheduled, but the note documented that she refused to go. During interviews, the resident stated she did not refuse the appointment and said transport services arrived but could not accommodate her wheelchair, and a second transport attempt had the same result. Staff reported repeated attempts to arrange transportation, but the resident’s wheelchair was too wide for the transport vehicle, and a stretcher attempt also failed because the lift could not raise the stretcher into the van. Staff further stated the facility did not have a rheumatologist on site and the closest one was in another city. The resident also reported that after a leg fracture and hospital treatment, she was supposed to have orthopedic follow-up, but no one had updated her on when the appointment would occur. Her discharge summary required non-weightbearing for 6 weeks, use of a knee immobilizer, and follow-up with orthopedic surgery within 3 to 5 days. The DON stated the facility was in the process of planning for the appointment and was unaware of the orthopedic follow-up appointment. The facility policy stated transportation would be arranged to ensure residents access to medical services when they had no personal resources.
Lack of Private Phone Access
Penalty
Summary
The facility failed to provide reasonable access and privacy for phone communication for one resident. Resident #28 was observed at the nursing station using the phone to discuss personal business around staff and other residents, and she stated she did not like making calls there because everyone could hear her conversation and she did not have privacy. She later stated that she had told staff a few months earlier that she wanted a phone in her room so she could make and receive calls privately. The resident’s record showed she was readmitted with diagnoses including metabolic encephalopathy, unspecified asthma, chronic respiratory failure with hypoxia, and chronic obstructive pulmonary disease. Staff interviews confirmed the resident’s request for a room phone had been known for some time. An LPN stated someone had told the resident they would bring a phone and one was placed in her room, but it did not work. The Maintenance Director stated every resident should have a phone in the room unless the resident requested removal, and that the phone line in this resident’s room did not work. The NHA stated all residents should have phone access in their rooms and that the facility did not have a policy for this citation.
PASRR Level II Not Submitted for Resident With Multiple Mental Health Diagnoses
Penalty
Summary
The facility did not ensure a Level II PASRR evaluation was submitted for one resident who had multiple mental health diagnoses. The resident’s record showed diagnoses including unspecified dementia without behavioral disturbance, recurrent moderate major depressive disorder, brief psychotic disorder, generalized anxiety disorder, and bipolar type schizoaffective disorder. A PASRR dated 2/21/2024 listed Anxiety Disorder, Depression Disorder, Psychotic Disorder, Schizoaffective Disorder, and other schizoaffective disorder, bipolar type as qualifying mental health diagnoses, but the medical record showed the resident was not assessed for PASRR Level II. During interview, the Social Service Director stated she reviews PASRRs on admission and updates them if incorrect, with RN signature, and submits for Level II when certain conditions are identified. She stated the resident initially did not have most of the diagnoses later added to the chart, and after a fall with fracture and reports of nightmares and delusional concerns, the resident was reassessed and the Level I PASRR was updated with new diagnoses. The Social Service Director stated Level II was not submitted because the resident had a short-term mental episode and returned to baseline. The facility policy stated that if a PASRR Level II screening is indicated after admission, Social Services is responsible for coordinating or informing the appropriate agency to conduct the screening and obtain the results.
Care Plan Not Updated for Hearing Aid Needs
Penalty
Summary
The facility did not review and revise the comprehensive care plan for Resident #49 related to communication and hearing needs. Resident #49 had diagnoses including malignant neoplasm of the head, face, and neck and another lymphoma involving the head, face, and neck, and the MDS dated [DATE] showed a BIMS score of 14 with intact cognitive function. The care plan identified a potential communication problem due to hard of hearing, but it did not reflect the resident’s hearing aid use or the issues reported with the hearing aids. Record review showed an audiology treatment note stating Resident #49 was a long-standing hearing aid user and was fitted for hearing aids, with a later note stating he was doing very well with them but wanted increased volume for voices. During interview on [DATE] at 3:25 p.m., the resident stated his hearing aids were not working because the batteries died and he had been unable to charge them, and that staff had been told but the hearing aids had not been fixed. Staff interviews showed the CNA and RN were unaware of the hearing aid problems, while the MDS coordinator, SSD, and DON stated that if the resident wears hearing aids, they should be included in the care plan. The facility policy stated the interdisciplinary team will review, update, and revise the comprehensive plan of care based on changing goals, preferences, and needs of the resident.
Failure to Provide Individualized Activities
Penalty
Summary
The facility failed to provide activities to meet the needs of a resident who was bedfast or preferred to remain in the room. Resident #82 had diagnoses including unspecified dementia, generalized anxiety disorder, mood disorder, major depressive disorder, altered mental status, and chronic kidney disease. The resident’s MDS indicated the resident was cognitively intact, had adequate hearing and vision, and preferred books or magazines, music, and favorite activities. The care plan directed staff to invite, encourage, and escort the resident to preferred activities, and the resident’s stated interests included classical music, bingo, crocheting, and reading mystery novels. Family members stated they had not seen staff engage the resident in 1:1 activities during the stay and wanted more activities of the resident’s preference, including 1:1 interaction. They reported the resident loved listening to and singing to a favorite musician and said they had only seen that activity provided one time during the resident’s stay. The resident was observed sleeping in bed during multiple observations, and staff interviews reflected uncertainty and inconsistency about what 1:1 activities were being provided for residents who stayed in their rooms or were bedbound. The activity records showed attendance for several group activities, but there was no documented attendance for 1:1 activities. The resident’s activity task also had no attendance or activity documentation for at least the last 30 days in the sections for activity location, participation, or description of activity. The AD stated 1:1 activities for bedbound residents or residents who preferred to remain in their room included social visits, but also stated the resident usually attended coffee social and that attendance was documented daily. The DON stated residents who could not get out of bed or preferred to remain in their room should be offered 1:1 activities such as puzzles, games, coloring, and word searches, and stated the resident was not getting preferred activities. The DON also stated the resident’s care plan still listed bingo even though it should have been updated when the resident no longer liked the activity.
Delayed Skin Condition Escalation and Missed Medication Administration
Penalty
Summary
The facility failed to ensure timely care and physician notification for a resident with a worsening skin condition. Resident #82 was observed repeatedly scratching and was noted to have severe redness, scattered bumps, and open scarring from itching on the back, stomach, and both upper and lower extremities. Family members reported the resident had been dealing with a severe rash for about three weeks and was unable to stop itching. The resident was observed with brownish spots on clothing, bed sheets, and pillow, and later was still wearing the same shirt with scattered brownish spotting present on the shirt and bed sheets. Staff interviews and record review showed the skin condition was not promptly escalated. An RN stated the resident needed a higher dosage of medication and that the Unit Manager was advised of the need for a dermatology consult, but the consult was not entered. The wound care LPN later stated they were unaware of the resident’s skin condition at first, then said staff were told to seek a dermatology consult and advise the MD. The DON stated the rash was present all over the resident’s body and that at least the MD should have been notified because this was an urgent issue and a dermatology consult should have been put in right away. The resident’s chart did not show a CIC completed for the rash, and physician notes stated staff had not reported any significant physical changes. The facility also failed to provide medication as ordered for another resident. Resident #96 had an order for Bacitracin Ophthalmic Ointment for a left eye infection starting on the 18th and ending on the 25th, but the medication was not received from the pharmacy. Documentation showed the medication remained on order, then a note indicated the pharmacy required an alternative. Staff later stated the Bacitracin was never administered because it never arrived, and the medication was changed to Erythromycin on the 25th. Pharmacy staff stated the order was received as an OTC medication and that an authorization form was faxed to the facility, but it was not returned, and the DON stated she should have been informed when the medication was unavailable and another script should have been obtained.
Nebulizer Mask Left Unbagged on Nightstand
Penalty
Summary
The facility failed to ensure nebulizer supplies were stored according to professional standards for one resident. On 06/01/2026 and again on 06/02/2026, the resident’s nebulizer mask was observed lying exposed and unbagged on top of the nightstand. The resident’s record showed diagnoses including metabolic encephalopathy, asthma, chronic respiratory failure with hypoxia, and COPD. During interview, an LPN stated the nebulizer mask was supposed to be stored in a bag and not left on the nightstand, and said she would throw the mask away because she did not know how long it had been sitting there; she also stated she had not given the resident a nebulizer treatment the previous day or that day. The DON stated the expectation was that nebulizer masks should be stored in a bag when not in use and that the bags are dated when changed, typically weekly. The facility policy stated nebulizer set-up equipment is changed once every seven days along with an equipment bag labeled with the resident’s name, date, and room number.
Inaccurate Medication Administration Documentation
Penalty
Summary
The facility failed to ensure accurate documentation related to medication administration for two residents. One resident, admitted with diagnoses including metabolic encephalopathy, asthma, chronic respiratory failure with hypoxia, and COPD, had an EMAR entry showing Ipratropium-Albuterol nebulizer treatment documented as administered at 1500, but an LPN later stated she did not give the treatment because the resident was in activities. This created a discrepancy between the medication record and the nurse’s account of what occurred. A second resident, admitted with diagnoses including Parkinson’s disease, type 2 diabetes mellitus with hyperglycemia, vascular dementia, and anxiety, had an order for Bacitracin ophthalmic ointment for a sty in the left eye. The EMAR showed the medication as administered on multiple dates, but administration notes stated the medication was on order or awaiting pharmacy delivery. During interview, an LPN stated the medication never arrived at the facility and that documentation showing it was given was inaccurate. The DON stated nurses were expected to document according to policy and not falsely document in the medical record, and the facility stated it did not have a documentation policy for this citation.
Deficiencies in Medication Administration and Documentation
Penalty
Summary
The facility failed to provide care and treatments in accordance with professional standards of practice, as evidenced by multiple deficiencies in medication administration and documentation. For two residents, blood pressures were not documented prior to the administration of blood pressure medication, despite physician orders requiring such checks. This oversight occurred for a resident with a history of orthostatic hypotension and another resident with cardiovascular complications, where blood pressure readings were crucial to determine the appropriateness of administering Midodrine. Additionally, the facility did not document blood sugar levels as ordered by physicians for two residents with diabetes. One resident's blood glucose levels were not recorded on several occasions, despite orders for twice-daily checks. Another resident's blood sugar checks were inconsistently documented, with missing entries for required pre-meal and scheduled checks. This lack of documentation raises concerns about the monitoring and management of these residents' diabetes. Furthermore, the facility failed to administer medications as ordered for two diabetic residents. Insulin and other diabetic medications were frequently administered outside the prescribed time frames, with some doses given hours late or not documented at all. This inconsistency in medication administration could potentially impact the residents' blood sugar control and overall health management.
Failure to Provide Scheduled Dialysis Care During Evacuation
Penalty
Summary
The facility failed to provide appropriate dialysis care for a resident with End Stage Renal Disease (ESRD) who was dependent on renal dialysis. The resident missed scheduled dialysis treatments due to the facility's inability to arrange transportation during an evacuation period. The facility did not notify the healthcare proxy or the physician about the missed treatments, leading to a wellness check by law enforcement. The resident was admitted to an acute care facility for dialysis after missing appointments. The resident's care plan indicated a need for regular dialysis on Tuesdays, Thursdays, and Saturdays, with specific instructions for staff to arrange transportation. However, during the evacuation, the resident missed dialysis on multiple occasions, and the facility failed to coordinate with the dialysis center effectively. The facility's timeline showed missed dialysis appointments and inadequate communication with the dialysis center, resulting in the resident being sent to the emergency room for treatment. Interviews with facility staff and the dialysis center administrator revealed a lack of communication and coordination between the facility and the dialysis center. The facility's contracts with dialysis centers were outdated and did not include the center where the resident was scheduled for treatment. The facility's policy on coordinating hemodialysis services was not followed, contributing to the deficiency in care for the resident.
Discrepancies in Narcotic Medication Documentation
Penalty
Summary
The facility failed to ensure accurate documentation of narcotic medication administration for a resident, leading to discrepancies in the accounting of oxyCODONE-Acetaminophen tablets. The resident, who had a history of chronic pain syndrome and unspecified gout, was prescribed oxyCODONE-Acetaminophen to be administered as needed for pain. During October, the Medication Administration Record (MAR) indicated that the resident received 12 doses, while the Medication Monitoring/Control Records showed 18 doses were administered, with 2 tablets wasted. This discrepancy highlighted a failure in maintaining accurate records, as several doses recorded on the Control Records were not documented on the MAR. Interviews with staff revealed inconsistencies in the process of documenting narcotic administration. Licensed Practical Nurses (LPNs) reported different methods for signing off on narcotic medications, and the Director of Nursing (DON) confirmed that both the MAR and the Control Records should have been signed. Additionally, the Control Records contained illegible signatures, making it difficult to identify the responsible staff members. The DON acknowledged the expectation for legible documentation and the need to verify the schedule to identify the staff involved.
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 197 citations issued within 25 miles in the last 12 months — including the 14 immediate-jeopardy cases — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near New Port Richey
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of New Port Richey | 0.5 mi | ★★★★★ | 0 | 0 |
| Nursing & Rehabilitation Center Of New Port Richey | 1.2 mi | ★★★★★ | 3 | 0 |
| Southern Pines Nursing Center | 1.2 mi | ★★★★★ | 14 | 0 |
| Madison Pointe Care Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Heather Hill Healthcare Center | 1.8 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Aspire At Ridge Haven.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.