Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Benderson Family Skilled Nursing And Rehab Center during CMS and state inspections, most recent first.
The facility did not follow physician orders for three residents, including not applying ordered anti-embolic stockings and not obtaining a scheduled lab test. In each case, staff documented that care was provided when it was not, and there was no documentation of refusals or reasons for not following the orders. The DON confirmed that documentation was inaccurate and that required care was not delivered as prescribed.
Surveyors found that two residents' medical records inaccurately documented the application of physician-ordered compression stockings. Despite MAR entries indicating the stockings were applied, repeated observations and interviews with the residents, their aides, and nursing staff confirmed the stockings were not provided or worn. Nursing staff admitted to documenting treatments that were not performed, and the DON acknowledged the inaccuracy of the records.
Surveyors identified that staff failed to follow physician orders for three residents, including not applying anti-embolic stockings as prescribed and not obtaining a required lab test. In each case, staff documented that orders were followed when they were not, and there was no documentation explaining the omissions. The DON confirmed that private aides were not responsible for these tasks and that the medical records were inaccurate.
Two residents had physician orders for compression stockings, but staff documented in the MAR that the stockings were applied when, in fact, they were not. Both residents and their caregivers confirmed the stockings were never applied, and staff admitted to inaccurate documentation. The DON acknowledged the medical records did not accurately reflect the care provided.
The facility failed to ensure call light accessibility for two residents, compromising their ability to request assistance. One resident, with moderate cognitive impairment, had her call light on the floor, while another, with severe cognitive impairment, had it clipped out of reach. The facility lacked a formal policy on call light placement, relying on staff orientation.
Failure to Follow Physician Orders and Accurately Document Care
Penalty
Summary
The facility failed to ensure that physician orders were followed for three residents, resulting in a deficiency under the Quality of Care regulation. For one resident, there was an active physician order for anti-embolic stockings to be worn during the day and removed at night. Observations on multiple occasions showed the resident was not wearing the stockings, and both the resident and her private duty aide confirmed that the stockings were not applied. Nursing staff documented in the Medication Administration Record (MAR) that the stockings were applied, but later admitted they were unsure if this was accurate and had not verified their application. The Director of Nursing (DON) confirmed that private duty aides are not responsible for applying the stockings and that refusals or non-application should be documented, which was not done in this case. Another resident had an active order for high compression stockings to be worn on both legs every shift. Observations revealed the resident was not wearing the stockings, and the resident stated he had not been asked to wear them since admission. Nursing staff documented in the MAR that the stockings were applied, but admitted this was not the case and that no stockings were present in the resident's room. The DON acknowledged that the medical record was inaccurate and that staff should not document treatments that were not completed. A third resident had a physician order for a specific laboratory test to be drawn in the morning. The facility failed to obtain the ordered lab test at the specified time, and there was no documentation in the medical record explaining why the test was not performed as ordered. The DON confirmed that the order was not followed and that the expectation is for nurses to document reasons when physician orders cannot be carried out.
Plan Of Correction
Resident #13 had order for discontinued on. Resident #133 had physician order reviewed and placed on resident for remainder of his stay. Resident discharged on. Resident #29 had lab order incorrectly entered on level drawn on, and results required no change in orders. Education provided to licensed nurses and ARNPs on staff responsibility of resident to receive treatment and care in accordance with professional standards of practice in regards to following physician orders with and lab orders. Audit other physician orders for and labs to ensure professional standards of practice are being followed. Audits to be conducted to ensure compliance with professional standards of practice by DON/designee of physician orders for and labs daily for four weeks, and three times a week for eight weeks thereafter. Results to be taken to monthly QAPI meeting for three months. And ARNPs on staff responsibility of resident to receive treatment and care in accordance with professional standards of practice in regards to following physician orders with and lab orders. Audit other physician orders for and labs to ensure professional standards of practice are being followed. Audits to be conducted to ensure compliance with professional standards of practice by DON/designee of physician orders for and labs daily for four weeks, and three times a week for eight weeks thereafter. Results to be taken to monthly QAPI meeting for three months. F 684 Treatment that was not completed, including the. If the resident refuses a treatment or the, the nurse should document the refusal in the medical record and notify the physician. On at 9:58 a.m., the DON said private duty sitters do not apply for the residents. Review of the medical revealed Resident #133 was admitted on. Diagnoses included aftercare following, replacement and left with a history of atherosclerotic. Review of the physician's orders revealed an active order dated at 7:00 p.m. for "high both every shift." Review of the MAR for revealed the nurses documented the were applied on and. Review of Resident #113's medical record did not contain information that the resident refused the. On at 12:17 p.m., observed Resident #133 in the room wearing shorts. There were no applied to the. The resident said he does not wear and no one asked him to wear them. He said he came to the facility with an Wrap for the left but it was removed the next morning and there has been nothing else for the since then. The original surgical was observed to the left. On at 10:12 a.m., observed Resident. F 684
Inaccurate Documentation of Compression Stocking Application
Penalty
Summary
Surveyors identified that the facility failed to ensure the accuracy of medical records for two residents regarding the application of physician-ordered compression stockings. For one resident, the medical record and Medication Administration Record (MAR) indicated that compression stockings were being applied daily as ordered. However, multiple observations showed the resident was not wearing the stockings at various times, and both the resident and her private duty aide confirmed that the stockings had not been applied for an extended period. The resident stated she would refuse if asked to wear them, but no such refusal was documented, and the aide reported never being instructed to apply them. Nursing staff also confirmed that they had not applied the stockings and that the MAR was not accurate. For the second resident, physician orders required the application of compression stockings every shift. The MAR reflected that the stockings were applied as ordered, but repeated observations found the resident was not wearing them. The resident reported never having worn the stockings at the facility and stated that no one had instructed him to do so. Nursing staff confirmed that they had documented the application of the stockings in the MAR without verifying whether the resident had them on, and a search of the resident's room revealed no stockings present. Interviews with nursing staff and the Director of Nursing (DON) confirmed that documentation in the MAR was inaccurate, as treatments were recorded as completed when they had not been performed. The DON acknowledged that staff should not document treatments that were not provided. These findings demonstrate a failure to maintain accurate and complete medical records as required by federal regulations.
Plan Of Correction
F 842 Resident #13 had order for discontinued on Resident #133 had physician order reviewed and placed on resident for remainder of his stay. Resident discharged on. Education provided to licensed nurses, ARNPs, and physicians on need for medical records to be complete and accurate. Audit medical records to ensure professional standards of practice are being followed in regards to documentation of orders for audits to be conducted to ensure compliance with professional standards of practice by DON/designee of daily documentation for orders of for four weeks, and three times a week for eight weeks thereafter. Results to be taken to monthly QAPI meeting for three months. F 842
Failure to Follow Physician Orders and Inaccurate Documentation
Penalty
Summary
Surveyors found that the facility failed to follow physician orders for three residents regarding the application of anti-embolic stockings and the timely collection of a laboratory test. For one resident with moderate cognitive impairment and dependent on staff for lower body dressing, there was an active physician order for anti-embolic stockings to be worn during the day. Observations on multiple occasions showed the resident was not wearing the stockings, and both the resident and her private duty aide confirmed that the stockings were not applied and that no one had instructed them to do so. Nursing staff documented in the Medication Administration Record (MAR) that the stockings were applied, but later admitted uncertainty about whether this was done, and the Director of Nursing (DON) confirmed that private duty aides are not responsible for applying such treatments. Another resident with a history of joint replacement and vascular disease had an active order for anti-embolic stockings to be applied every shift. Observations repeatedly showed the resident was not wearing the stockings, and the resident stated he had not been asked to wear them since admission. Nursing staff documented in the MAR that the stockings were applied, but admitted during interviews that they had not applied them nor instructed others to do so. The DON acknowledged that the medical record was inaccurate in this regard. A third resident had a physician order for a specific laboratory test to be drawn in the morning, but the test was not obtained as ordered, and there was no documentation in the medical record explaining the omission. The DON confirmed that the order was not followed and that the expected documentation was missing. In all three cases, the facility failed to follow physician orders as prescribed and did not document reasons for non-compliance in the residents' medical records.
Plan Of Correction
Resident #13 had order for discontinued on Resident #133 had physician order reviewed and placed on resident for remainder of his stay. Resident discharged on Resident #29 had lab order incorrectly entered on level drawn on and results required no change in orders. Education provided to licensed nurses and ARNPs on staff responsibility of resident to receive treatment and care in accordance with professional standards of practice in regards to following physician orders with and lab orders. Audit other physician orders for and labs to ensure professional standards of practice are being followed. Audits to be conducted to ensure compliance with professional standards of practice by DON/designee of physician orders for and labs daily for four weeks, and three times a week for eight weeks thereafter. Results to be taken to monthly QAPI meeting for three months. N 054 N 054 N 054
Inaccurate Documentation of Compression Stocking Application
Penalty
Summary
The facility failed to ensure the accuracy of medical records for two residents regarding the application of physician-ordered compression stockings. For one resident, the medical record and Medication Administration Record (MAR) indicated that anti-embolic stockings were applied daily as ordered by the physician. However, multiple observations showed the resident was not wearing the stockings at various times, and both the resident and her private duty aide confirmed that the stockings were never applied. The CNA responsible for the resident stated she was not instructed to apply the stockings, and the RN admitted to documenting their application in the MAR despite knowing they were not applied. The Director of Nursing (DON) confirmed that documentation should not reflect treatments that were not completed, acknowledging the inaccuracy of the MAR. Similarly, for another resident, the MAR documented that compression stockings were applied every shift as ordered. Observations throughout the day showed the resident was not wearing the stockings, and the resident stated he had never worn them at the facility and was not provided with a pair. The CNA confirmed she was not told to apply the stockings, and the RN admitted to documenting their application without verifying if they were actually applied. The DON again confirmed that the medical record was inaccurate in this instance. Photographic evidence was obtained to support these findings.
Plan Of Correction
Resident #13 had an order that was discontinued on [date]. Resident #133 had a physician order reviewed and placed for the remainder of his stay. The resident was discharged on [date]. Education was provided to licensed nurses, ARNPs, and physicians on the need for medical records to be complete and accurate. Audit medical records to ensure professional standards of practice are being followed in regards to documentation of orders. Audits are to be conducted to ensure compliance with professional standards of practice by the DON/designee, including documentation of orders daily for four weeks, and three times a week for eight weeks thereafter. Results are to be taken to the monthly QAPI meeting for three months.
Failure to Ensure Call Light Accessibility for Residents
Penalty
Summary
The facility failed to ensure that residents had access to call lights, which is a critical component of resident safety and care. During a survey, it was observed that two residents did not have their call lights within reach. Resident #3 was found sitting in her wheelchair with the call light on the floor, out of her reach. She was unable to locate the call light and mistakenly identified the TV remote as the call light. A CNA admitted to forgetting to place the call light within reach after making the resident's bed. Resident #3's medical records indicated moderate cognitive impairment and a care plan that required the call light to be within reach to prevent falls and manage incontinence. Resident #4 was observed lying in bed with the call light clipped to the back of the mattress, making it inaccessible. This resident was unable to communicate effectively due to severe cognitive impairment. Her care plan emphasized the need for staff to anticipate and meet her daily care needs, including encouraging the use of the call light for assistance. The facility lacked a formal policy on call light placement, relying instead on staff orientation. The administrator confirmed that there was no documentation of regular audits for call light placement, except for a specific case involving another resident.
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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.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
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| Vivo Healthcare Meadows | 0.3 mi | ★★★★★ | 2 | 0 |
| Harborview Sarasota | 1.1 mi | ★★★★★ | 15 | 0 |
| Sunnyside Nursing Home | 2 mi | ★★★★★ | 0 | 0 |
| Hawthorne Center For Rehab & Healing Of Sarasota | 2 mi | ★★★★★ | 0 | 0 |
| Aviata At Beneva | 2.1 mi | ★★★★★ | 16 | 4 |
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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.