Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Community Health And Rehabilitation Center during CMS and state inspections, most recent first.
Unlabeled and improperly stored personal items were observed in multiple resident rooms, including bedpans not bagged and left between the handrail and wall, a urinal hanging on a garbage can or lying on a bedside cabinet, and a urine graduate sitting on a bathroom handrail. One resident bathroom also had items that were not separated for each resident in the room, and the issues remained uncorrected across repeated observations.
Failure to provide ordered wound care and document a new skin impairment: A resident with a surgical wound had a wound vac disconnected from the dressing and a PICC dressing that was not changed as ordered, while another resident was observed with a blister on the lower leg that had no documentation, no HCP order, and no completed weekly skin check.
Food service staff failed to follow sanitary food handling practices during meal preparation. An employee was observed cooking without a hair net, another staff member's Pepsi was stored in the vegetable freezer, and a second employee was observed cooking without a beard and mustache covering even after being told to put one on.
A resident’s room did not provide full visual privacy because the privacy curtain was about 3 feet too short in width and was stuck in the track. The Housekeeping Supervisor later observed the track coming loose from the ceiling and confirmed the curtain was too short to provide full visual privacy. She also stated the room was included on a list of rooms with privacy curtain issues.
The facility failed to assess residents for self-administration of medications, allowing two residents to self-administer without prior evaluation. A nurse left medications, including a schedule II drug, at the bedside without supervision, contrary to facility policy requiring staff to remain with residents until medication administration is complete.
The facility failed to provide wound care according to physician orders and policy for two residents. One resident had an uncovered wound and outdated dressing, with missed daily dressing changes documented. An LPN admitted to not realizing the daily order and noted the resident often removed the dressing. Another resident had a documented wound care order despite having no wound, with the last skin assessment over a month prior. The DON acknowledged the oversight in wound care documentation and adherence to orders.
A resident with a history of cancer and gastrostomy tube dependency was administered the wrong tube feeding formula, Jevity 1.5 instead of the prescribed Jevity 1.2. Staff interviews revealed a lack of awareness and oversight, with the LPN not noticing the error and the DON unaware of the incident. The Registered Dietitian mentioned possible substitution due to shortages, but the Central Supply Coordinator confirmed no shortage of Jevity 1.2.
A resident was observed receiving oxygen therapy without a physician's order, as confirmed by staff and record reviews. The resident had been using oxygen continuously since admission, but no orders were documented. Interviews with a nurse and the ADON verified the oversight, which contravened the facility's policy on daily review of physician orders.
A resident with an ESBL infection was not placed under the correct Contact Isolation protocol due to a failure in communication and awareness among the staff. The room displayed an incorrect sign, and staff members, including an LPN and CNA, were unaware of the resident's isolation status. The DON was also not informed of the isolation order.
Unlabeled and Improperly Stored Personal Items
Penalty
Summary
The facility failed to ensure residents had a clean and sanitary environment when personal items were not labeled and not separated for each resident in 5 of 9 rooms sampled. On the north hallway of Unit 2, observations found a bedpan sitting in the bathroom between the handrail and wall and not bagged, a resident's urinal hanging on the garbage can next to the bed and out of the resident's reach, and another bedpan in the bathroom between the handrail and wall. A later observation showed the personal items in one resident's bathroom were still not labeled or separated for each resident in the room, the bedpans in two rooms were still not labeled or bagged and remained in the bathroom between the handrail and wall, and the resident's urinal was still lying on its side on the bedside cabinet next to the bed. Additional observations on 08/26/25 and 08/27/25 showed these issues remained uncorrected, and one room was also observed with a urine graduate sitting on the handrail in the bathroom.
Failure to Provide Ordered Wound Care and Document New Skin Impairment
Penalty
Summary
The facility failed to provide wound care in accordance with physician orders for a resident with a surgical lower back wound and a PICC line. Resident #106 had a negative pressure wound device ordered for the surgical incision wound, but on observation the wound vac was sitting on the bed and not connected to the resident, and the resident stated it had been removed earlier because it became loose from the dressing. The lower back wound had gauze and tape in place with no date present. The resident also had a PICC line in the right upper arm with a dressing dated 8/14, and the LPN stated the PICC dressing was to be changed weekly. The record showed the wound vac order had been entered, but the device was not started as documented in the chart, and the dressing change for the PICC line was not completed until later after supplies were obtained. The facility also failed to assess and document a newly identified skin impairment for another resident. Resident #9 was observed with a blister on the right lower leg about the size of a quarter, and later a white dressing dated 8/26 was found over the area with the blister intact underneath. Review of the electronic medical record showed no documentation of the blister, no physician order for the dressing on the right lower leg, and the weekly skin check due on 8/26 was not completed. The ADON confirmed there was no documentation of the blister and no order for the dressing that had been applied.
Food Service Staff Failed to Wear Required Hair and Facial Coverings
Penalty
Summary
The facility failed to maintain sanitary food practices and ensure kitchen staff wore required hair and facial coverings while preparing resident meals. During a kitchen tour on 08/25/2025, staff K was observed cooking lunch without a hair net, and when asked, staff K stated, "No, I am not wearing one." During the same tour, a 16 oz Pepsi belonging to a staff member was observed on the top shelf in the vegetable freezer. On 08/28/2025, staff J was observed cooking a meal without a facial covering for the beard and mustache, and the Food Service Director instructed staff J to put one on. After reviewing emergency food, staff J was still without the facial covering, and the Food Service Director directed staff J to leave the area to put it on.
Inadequate Bedroom Privacy Curtain
Penalty
Summary
The facility failed to ensure that 1 of 19 sampled resident bedrooms was equipped to provide full visual privacy. In room [ROOM NUMBER]A, which was occupied by a resident, the privacy curtain was observed to be about 3 feet too short in width to provide full visual privacy, and the existing curtain was stuck and would not pull in the curtain track. On a later observation with the Housekeeping Supervisor, the track was observed to be coming loose from the ceiling, and she confirmed that the curtain was too short in length to provide full visual privacy. She also stated that a list of rooms with privacy curtain issues had been created on 8/26/25 and that room [ROOM NUMBER] was included on that list.
Failure to Assess Residents for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that the interdisciplinary team assessed and determined the capability of residents to self-administer medications before allowing them to do so. During an observation of medication administration, it was noted that a registered nurse left oral medications, including a schedule II medication, at the bedside for a resident to self-administer without prior assessment. The nurse admitted that no residents had been assessed for self-administration of medications, despite being told that certain residents could be trusted to take their medications independently. The medical records review revealed that the medications left for self-administration included various prescriptions for conditions such as diabetes, high blood pressure, and bipolar disorder. The facility's policy for medication administration requires staff to remain with residents until the administration of medications is complete, which was not adhered to in these instances. This oversight involved two residents who were observed with medications left unattended, indicating a lapse in following the established medication pass guidelines.
Deficiencies in Wound Care Management
Penalty
Summary
The facility failed to provide wound care in accordance with physician orders and facility policy for two residents. Resident #24, who had been discharged from the hospital with an infected post-surgical wound, was observed with an uncovered wound on her left knee and a dressing on her left lower leg that had not been changed for four days. The Treatment Administration Record (TAR) indicated that the prescribed daily dressing changes were not completed on specific dates. Nurse A, who was responsible for Resident #24's care, admitted to not realizing the daily dressing change order until later and noted that the resident often removed the dressing herself. Resident #7 had a physician order for wound care on her right sacrum, but upon observation, no wound or dressing was present. The TAR indicated that wound care was documented as completed, despite the absence of a wound. The last documented skin assessment for Resident #7 was dated over a month prior, and Nurse A confirmed that no dressing was applied due to the lack of a wound. The Director of Nursing acknowledged that the order likely remained from a previous hospital discharge and had not been discontinued. The facility's policies on dressing changes and medication administration were reviewed, revealing that treatments should be administered as per physician orders. The Director of Nursing agreed that the dressing for Resident #24 should have been changed as ordered and acknowledged the oversight in Resident #7's wound care documentation. The facility's failure to adhere to physician orders and policy resulted in deficiencies in wound care management for both residents.
Failure to Administer Correct Tube Feeding Formula
Penalty
Summary
The facility failed to follow physician orders for tube feeding formula for a resident who was reviewed for tube feeding. During a facility tour, it was observed that the resident was receiving Jevity 1.5 formula instead of the prescribed Jevity 1.2 formula. The resident, who has a history of cancer, difficulty swallowing, and gastrostomy tube dependency, was found with the incorrect formula infusing. The error was confirmed through observation and record review, which showed that the physician's order was for Jevity 1.2. Interviews with facility staff revealed a lack of awareness and oversight regarding the tube feeding formula being administered. A Licensed Practical Nurse assigned to the resident did not notice the wrong formula during her shift. The Registered Dietitian acknowledged the prescribed formula but mentioned that substitution could occur if there was a shortage, although there was no shortage reported by the Central Supply Coordinator. The Director of Nursing was also unaware of the error, indicating a communication breakdown and failure to adhere to the physician's orders for the resident's care.
Failure to Obtain Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to obtain physician orders for administering oxygen to a resident who was observed receiving oxygen therapy on multiple occasions. The resident was seen in bed receiving humidified oxygen via nasal cannula at 1.5 liters from an oxygen concentrator and later in a wheelchair receiving 2 liters of oxygen from a portable tank. A review of the resident's medical records revealed no physician orders for oxygen therapy, despite the resident's statement that they had been using oxygen continuously since admission to the facility. Interviews with staff, including a registered nurse and the Assistant Director of Nursing (ADON), confirmed the absence of a physician order for the oxygen therapy. The nurse acknowledged the lack of an order and noted that the night shift nurse had reported the resident's oxygen use. The ADON also confirmed the absence of an order upon reviewing the resident's records. The facility's policy on the daily review of physician's orders requires nurses to identify and report any transcription issues or omissions, which was not adhered to in this case.
Infection Control Protocol Failure for Resident with ESBL Infection
Penalty
Summary
The facility failed to maintain proper infection control protocol for a resident who was supposed to be on Contact Isolation due to an Extended Spectrum Beta-Lactamase (ESBL) infection in her urine. The resident had a physician's order for Contact Isolation written on 06/02/24, but observations on 06/03/24, 06/04/24, and 06/05/24 revealed that the room had an incorrect Enhanced Barrier Precautions sign instead of the required Contact Isolation sign. This discrepancy was not identified or corrected by the staff responsible for the resident's care. Interviews with the staff, including a Licensed Practical Nurse (LPN) and a Certified Nursing Assistant (CNA), revealed a lack of awareness and understanding of the resident's isolation status. The LPN, who was assigned to the resident, was unaware of the correct isolation protocol and had to consult the electronic health record to confirm the resident's status. The CNA also incorrectly stated that the resident was not on isolation. Furthermore, the Director of Nursing was unaware of the Contact Isolation order, indicating a communication breakdown within the facility's infection control procedures.
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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 Panama City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Panama City | 3.3 mi | ★★★★★ | 1 | 0 |
| Clifford Chester Sims State Veterans Nursing Home | 3.3 mi | ★★★★★ | 0 | 0 |
| St Andrews Bay Skilled Nursing And Rehabilitation | 3.8 mi | ★★★★★ | 3 | 0 |
| Aviata At Emerald Shores | 3.9 mi | ★★★★★ | 0 | 0 |
| Shores Nursing And Rehab Center | 33.5 mi | ★★★★★ | 8 | 0 |
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