Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Centre Pointe Health And Rehab Center during CMS and state inspections, most recent first.
A facility failed to ensure residents were assessed before being allowed to self-administer meds. Four residents had OTC and prescription meds observed at the bedside, including eye drops, nasal spray, throat spray, aspirin, ibuprofen, and an inhaler, but their records contained no physician orders or self-medication assessments. An LPN confirmed no residents were permitted to self-administer meds, while facility policy required nurse and physician determination of safety before the practice.
The facility failed to ensure the LTC ombudsman received a copy of a transfer notice for a resident who was sent to the hospital. The transfer and discharge notice had the ombudsman notification section left blank, and the Administrator stated there was no evidence that transfers and discharges were being reported monthly to the ombudsman.
A resident with Alzheimer's disease, depressive episodes, and cognitive communication deficit had a PASARR Level I evaluation that recommended a Level II screening, but the screening was not documented in the EMR and had not been completed. The Social Services Consultant confirmed the missing screening and stated that the facility faxed the request for the PASARR Level II review that morning.
Failure to Provide ADL Care and Grooming: A resident who was totally dependent on staff for bathing, dressing, eating, and incontinence care was observed over multiple days in the same stained shirt, with disheveled and matted hair and poor oral hygiene. The resident’s representative reported missed daily care, and the record review showed that although showers were scheduled 3 times weekly, the resident received only 5 showers and 1 bed bath in a 30-day look-back period.
Failure to document and treat a draining left shin wound. A resident was observed with an undated dressing on the left leg that was leaking dark red fluid onto the resident’s leg and the floor. The EMR had no documentation or skin care orders for the area, the LPN was unaware of any left-leg dressing, and the DON found no record of a draining wound or skin condition. A later skin sweep also showed no left-leg wound documentation, despite the resident’s care plan including skin inspection interventions.
The facility failed to maintain an infection prevention and control program that tracked and monitored infections, with missing infection data for multiple months and no infection mapping available for review. In addition, an LPN administering IV antibiotics to a resident did not perform hand hygiene or change gloves after touching contaminated items, despite the DON’s expectation that staff follow infection control policy and aseptic technique.
A resident's tube feeding was not administered according to physician orders, with discrepancies in the feeding rate and water flush observed over two days. The facility's policy on enteral feeding was not followed, leading to the deficiency.
The facility failed to properly document vaccination consents for three residents. One resident's consent form was signed by a nurse instead of the representative, while two other residents' forms were either undated or lacked indication of vaccination request or refusal. The Infection Preventionist acknowledged these oversights, which were against the facility's policy requiring clear documentation of vaccine decisions upon admission.
A facility failed to obtain a physician's order for a resident's CPAP machine, despite its presence in the resident's room and inclusion in the care plan. The resident, with diagnoses of COPD and sleep apnea, had a previous CPAP order that was discontinued, leaving no active order. The DON confirmed the absence of an active order, contrary to the facility's policy requiring such verification.
A resident readmitted with an unstageable pressure ulcer did not receive specific treatment for the ulcer until two days after arrival. The facility's wound care specialist and DON confirmed the delay, noting that initial care only included a barrier cream for incontinence, not the necessary wound care.
The facility failed to ensure that wound care documentation was completed for two residents. One resident had missing documentation for nystatin-triamcinolone cream and zinc barrier cream applications, while another resident had missing documentation for Triad Hydrophilic Wound Dress Paste applications. Both residents reported inconsistencies in their wound care treatments.
Failure to Assess Residents Before Self-Administration of Medications
Penalty
Summary
The facility failed to ensure the interdisciplinary team assessed and determined whether residents were capable of self-administering medications before allowing that practice for 4 of 25 sampled residents. Residents #43, #112, #67, and #7 had medications or over-the-counter products observed in their rooms, including eye drops, Ipratropium Bromide 0.06% nasal spray, throat antiseptic spray, aspirin, ibuprofen, and an inhaler, all sitting on bedside tables during multiple observations. Record review for Residents #7, #43, #67, and #112 showed no physician's order for self-medication administration and no assessments for self-medication. During interview, an LPN confirmed that there were no residents permitted to self-administer medications. Facility policy stated that each resident who desires to self-administer medications may do so only if the Licensed Nurse and physician determine the practice would be safe for the resident.
Failure to Notify Ombudsman of Transfer Notice
Penalty
Summary
The facility failed to ensure the long term care ombudsman received a copy of the transfer notice for 1 of 2 residents reviewed for hospitalization, Resident #156. The resident was transferred to the hospital on [DATE], and the Nursing Home Transfer and Discharge Notice dated 11/8/25 showed the section indicating that the ombudsman received a copy of the transfer notice was left blank. During an interview on 1/7/26 at 4:45 PM, the Administrator stated the facility did not have evidence that transfers and discharges were being reported to the ombudsman monthly, and the former case manager who had been working in the facility would not respond to the facility.
PASARR Level II Screening Not Completed
Penalty
Summary
The facility failed to ensure that a required PASARR Level II screening was completed for one resident who had multiple mental disorder diagnoses, including Alzheimer's disease, depressive episodes, and cognitive communication deficit. The resident's EMR showed that a PASARR Level I evaluation was completed and, on 6/19/25, recommended a PASARR Level II screening, but there was no documentation in the EMR that the Level II screening had been completed. During an interview on 1/8/26, the Social Services Consultant confirmed that the screening was not present in the EMR and had not been completed, and stated that the facility faxed the request for the PASARR Level II screening that morning. The facility's PASARR Guidance policy stated that referral for a Level II resident review evaluation is required for individuals previously identified by PASRR to have a mental disorder or intellectual disability, or a related condition who experience a significant change.
Failure to Provide ADL Care and Grooming
Penalty
Summary
The facility failed to provide activities of daily living care for a resident who was dependent on staff for bathing, dressing, eating, and incontinence care. The resident’s representative reported that the resident was not receiving daily care, including tooth brushing, clean clothing changes, and hair care, and stated the resident often remained in the same clothes for days with matted hair. During the interview, the resident was observed in bed wearing a gray t-shirt, a brief, and a sheet over the lower extremities, with unkempt hair matted to the back of the scalp. Subsequent observations showed the resident remained in the same gray t-shirt with a stain on the front, with disheveled hair and food particles with yellowish buildup around the lower front teeth. Later observations continued to show the resident in the same stained shirt and only an incontinence brief on the lower half, with no change in the condition of the hair. Staff stated the resident was totally dependent for care and that she could become combative during care, and the record review showed shower days were scheduled three times weekly, but in a 30-day look-back period the resident received only 5 showers and 1 bed bath. The care plan identified an ADL self-care deficit related to impaired functional mobility, generalized weakness, and decreased endurance, with goals that needs be met and the resident be clean and well groomed.
Failure to Document and Treat Draining Left Shin Wound
Penalty
Summary
The facility failed to ensure that Resident #122 received wound care and treatment in accordance with professional standards of practice. On 1/5/26, Resident #122 was observed seated in a wheelchair in the hallway with an undated dressing on the left shin that had lifted along the bottom edge and was dripping a dark red fluid. The fluid ran down the resident’s leg and dripped onto the floor, where an approximate silver dollar-sized pool and several smaller drops were observed beneath the resident’s feet. About an hour later, staff applied a new bandage dated with the current date. Review of the electronic medical record on 1/6/26 showed no documentation regarding the dressing on the left shin and no skin care orders for treatment to that area. The resident’s nurse stated she was not aware of any dressing on the left leg and could not find documentation explaining why the leg was draining or required a dressing. The DON also found no documentation of a draining wound or skin condition on the left shin, and a skin sweep completed on 1/7/26 contained no documentation of a skin condition or wound to the left leg. The resident’s quarterly care plan included skin inspection interventions, and the facility policy required skin checks to be documented, new areas to trigger a change in condition, and documentation to be maintained in the EMR.
Infection Control Tracking and Hand Hygiene Failures
Penalty
Summary
The facility failed to demonstrate an infection prevention and control program that identifies, investigates, and monitors all infections at the facility. Review of the infection control tracking and monitoring logs for 2025 showed no infection data for July, August, or September, only two infections documented in October, and zero infections documented in November and December. No infection mapping to monitor for patterns was available for any month in 2025. The DON/Infection Control Preventionist stated that she reviews clinical information daily, tracks infections through the electronic portal, and completes mapping of infections, but she could not explain the missing tracking data or produce the line listing from the QAPI binder before exit conference. The facility also failed to follow hand hygiene procedures during IV medication administration for one resident receiving scheduled IV antibiotics. An LPN was observed administering the IV medication and, after touching the resident’s waste basket and bedside table, did not remove gloves, perform hand hygiene, or don a new pair of gloves before continuing. When questioned, the LPN stated she should have washed her hands and put on new gloves after touching those items. The DON stated that nurses are expected to follow the infection control policy and use aseptic technique when administering IV medications.
Failure to Follow Physician Orders for Tube Feeding
Penalty
Summary
The facility failed to adhere to physician orders for tube feeding administration for a resident. During a facility tour, it was observed that the resident's tube feeding pump was present, but the prescribed tube feeding formulary was not infusing. Subsequent observations revealed that the resident was receiving Osmolite 1.5 at a rate of 65 mL/hr with a water flush of 240 mL every 4 hours, which did not align with the physician's order of 55 mL/hr for 22 hours with a water bolus of 200 mL every 4 hours. This discrepancy was noted on multiple occasions over two days. Interviews with facility staff, including a registered nurse and the administration, confirmed the oversight. The registered nurse acknowledged the error and adjusted the feeding rate to match the physician's order. The facility's policy on enteral feeding, which requires verification of physician orders and setting the proper rate on the pump, was not followed, leading to the deficiency. The administration conducted an audit and discovered the incorrect feeding and water flush rates for the resident.
Failure to Properly Document Vaccination Consents
Penalty
Summary
The facility failed to properly offer and document influenza, pneumococcal, and COVID-19 vaccinations for three residents. For one resident, the consent form was signed by a nurse instead of the resident's designated representative, indicating a failure to obtain proper consent. Another resident's consent form was undated and did not specify whether the resident requested or refused the vaccinations. Similarly, a third resident's consent form was dated but also lacked an indication of whether the resident requested or refused the vaccinations. During an interview, the facility's Infection Preventionist acknowledged these oversights, stating that the consent forms should have been signed by the resident or their representative, dated, and should have clearly indicated the resident's decision regarding the vaccinations. The facility's policy requires documentation of the resident's request or refusal of vaccines upon admission, with instructions for the resident or legal representative to mark their decision and sign and date the form. These procedural lapses led to the deficiency noted in the report.
Failure to Obtain Physician's Order for CPAP Use
Penalty
Summary
The facility failed to obtain a physician's order for the use of a Continuous Positive Airway Pressure (CPAP) machine for one of the residents reviewed. During an observation, a CPAP machine was noted in the resident's room, but a review of the medical records showed no active physician's order for its use. The resident had been readmitted to the facility with diagnoses including Chronic Obstructive Pulmonary Disease and sleep apnea, conditions that typically require CPAP therapy. Although there was a previous order for CPAP use, it had been discontinued, and the current care plan still included CPAP interventions without a corresponding active physician's order. The Director of Nursing confirmed that there was no active order for the CPAP machine, despite the resident's care plan indicating its use. The facility's policy on CPAP use, dated 2017, requires verification of a physician's order, including specific settings and usage instructions, which was not adhered to in this case.
Failure to Provide Timely Pressure Ulcer Treatment
Penalty
Summary
The facility failed to provide timely treatment for a pressure ulcer upon the admission of a resident. The resident was readmitted to the facility with a new diagnosis of an unstageable pressure ulcer in the sacral region. Despite the resident's condition and incontinence of bladder and bowel, the admission orders did not include specific treatment for the pressure ulcer until two days after arrival. The physician's order for the necessary wound care was only issued on the third day after the resident's readmission, which included the application of Dakin's solution, Santyl ointment, and hydrogel, followed by covering the wound with a foam dressing. Interviews with the facility's wound care specialist and the Director of Nursing confirmed the delay in providing appropriate treatment for the pressure ulcer. The wound care specialist acknowledged that the resident should have been admitted with orders for pressure ulcer care. The Director of Nursing stated that the resident's skin was treated with a barrier cream upon arrival, consistent with the facility's protocol for incontinent residents, but verified that the specific wound care order was not issued until two days later. This delay in treatment was a significant oversight in the care of the resident's pressure ulcer.
Failure to Document Wound Care
Penalty
Summary
The facility failed to ensure that wound care documentation was completed for two residents. Resident #2 had a physician's order for nystatin-triamcinolone cream twice a day for skin management starting on 4/24/24. However, the Medication Administration Record (MAR) showed that documentation was not completed on the evening shift of 4/25/24 and the day shift of 4/27/24. Additionally, another physician's order for zinc barrier cream to be applied twice a day starting on 3/24/24 was not documented on multiple occasions, including 4/21/24 at 9:00 am and 6:00 pm, 4/25/24 at 6:00 pm, and 4/27/24 at 9:00 am. Resident #2 expressed concerns about the inconsistency of her wound care during an interview on 4/30/24. Resident #3 had a physician's order for Triad Hydrophilic Wound Dress Paste to be applied to the sacrum and buttocks every shift starting on 4/4/24. The MAR revealed that documentation was not completed for the daytime applications on 4/16/24 and 4/21/24, and for the evening applications on 4/14/24, 4/15/24, 4/20/24, 4/21/24, and 4/25/24. Resident #3 also reported missed wound care treatments during an interview on 4/30/24. The Director of Nursing (DON) confirmed the lack of documentation and stated that facility protocols require documentation if treatment was given, refused, or the reason it was not given.
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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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Nursing homes near Tallahassee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At Tallahassee | 0.8 mi | ★★★★★ | 26 | 0 |
| Seven Hills Health & Rehabilitation Center | 0.9 mi | ★★★★★ | 7 | 0 |
| Aviata At The Gardens - Tallahassee | 1.2 mi | ★★★★★ | 10 | 0 |
| Tallahassee Memorial Hospital Extended Care | 1.7 mi | ★★★★★ | 0 | 0 |
| Westminster Oaks | 2.1 mi | ★★★★★ | 14 | 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.