Below average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Desoto Health And Rehab during CMS and state inspections, most recent first.
A resident with hemiplegia and dysphagia repeatedly reported a loose tooth and dental pain, but the facility did not obtain a dental consult or document dental follow-up. Staff noted the resident could not get into a wheelchair to leave the facility, and the resident eventually pulled the tooth out himself after food became stuck in it. Interviews showed the concern was only recently escalated to Social Services, the in-house dental provider had never seen the resident, and the DON confirmed no dental consultation was obtained.
Arbitration Agreement Did Not State 30-Day Rescission Right: The facility’s arbitration agreement allowed cancellation within 3 business days, but it did not explicitly grant residents or representatives the right to rescind within 30 calendar days of signing. The Social Services Director, DON, and NHA confirmed the agreement language, and sampled residents were unable to explain the rescission timeframe or had no knowledge of the arbitration process.
A facility arbitration agreement stated that any litigation would be heard exclusively in one county in Florida and no other location. Sampled residents were unable to explain the arbitration process in detail, and the Social Services Director, DON, and NHA all confirmed the venue language limited disputes to that single location.
Failure to Preserve Resident Dignity During Meals: Staff were observed applying clothing protectors to residents in the dining room during meals without first asking permission. A CNA stated staff usually put them on everyone unless they refuse, and a resident said wearing one made her feel like "an old lady." The DON stated staff should ask residents before applying a clothing protector.
Failure to Maintain Dialysis Communication and Coordination: The facility did not ensure ongoing communication and collaboration with the dialysis center for a resident with ESRD who received dialysis three times weekly. Staff reported the dialysis communication form was not consistently sent with the resident or returned completed, telephone updates were not documented, and the resident said the facility did not provide a binder with the forms. Only two incomplete forms were available, and the DON verified there was no documentation of coordination for several months.
Failure to provide needed nail care: A resident with cerebral infarction and left-sided hemiplegia, who required substantial to maximal help with personal hygiene, was observed with a contracted hand and a left index fingernail extending about 2 inches past the fingertip. Staff said nail care was offered with showers and documented on shower sheets, but records showed multiple showers without nail care, and the DON confirmed the nail should have been trimmed.
The facility failed to maintain a sanitary environment in the kitchen and nourishment rooms, with observations of debris, leaks, and unsanitary conditions. Staff interviews revealed a lack of awareness and structured cleaning protocols, contributing to the deficiencies.
The facility failed to maintain a clean and sanitary environment in the kitchen and nourishment rooms. Observations included a milky liquid on the kitchen floor, debris under storage shelves, a green film in the refrigerator, and leaking pipes. In the nourishment rooms, debris and residue were found on counters and under sinks. Staff interviews revealed a lack of awareness and action regarding these issues, with gaps in cleaning procedures noted.
Failure to Arrange Dental Care for Resident With Loose Tooth and Pain
Penalty
Summary
The facility failed to arrange routine and emergency dental services for a resident with known dental problems and documented complaints of dental pain. The resident had diagnoses including left-sided hemiplegia and dysphagia, and his care plan identified him as at risk for dental/oral problems due to broken or missing teeth, with interventions to monitor and report oral or dental symptoms and obtain a dental consult as needed. The resident was cognitively intact and reported that he had been asking to see a dentist for a while, but he could not get into a wheelchair because of pain and contractures. The resident repeatedly reported a loose lower tooth and dental pain to staff. Progress notes documented a complaint of a loose tooth and later dental pain, with tramadol given for pain, but the clinical record lacked documentation of any dental consultation or dental notes. The resident stated that food became stuck in the loose tooth, that it made chewing difficult, and that he eventually pulled the tooth out himself after becoming tired of the problem. A yellow, hard, pointy object identified by the resident as his tooth was observed at the bedside. Staff interviews showed that the dental concern was not effectively coordinated. An LPN confirmed the resident had a loose tooth before the tooth was removed and said he would not go out to the dentist. The Unit Manager said dental concerns were usually communicated to the PCP and Social Services and that Social Services was notified only on 2/19/26. The Social Services Director stated she learned of the loose tooth about a week earlier, could not locate any dental requests or records, and confirmed the in-house dental company had never seen the resident. The DON acknowledged that the resident’s dental complaints were documented, that the physician should have been notified and the issue documented, and confirmed that a dental consultation was never obtained.
Arbitration Agreement Did Not State 30-Day Rescission Right
Penalty
Summary
The facility failed to have an arbitration agreement that explicitly granted the resident or representative the right to rescind the agreement within 30 calendar days of signing it. Review of the arbitration agreement showed that each party had three business days from execution of the agreement to cancel it by written notice sent by certified mail return receipt or retractable overnight delivery. The Social Services Director confirmed that the agreement did not state a 30-calendar-day rescission period, and the DON and Nursing Home Administrator also confirmed the agreement only referenced a 3-business-day cancellation period. Residents #35, #47, and #42 were sampled from the facility’s list of new admissions who had signed the arbitration agreement. During interviews, Resident #35 said she was familiar with arbitration but could not say how long she had to rescind the agreement. Resident #47 said he was explained the arbitration process when he entered the facility but could not explain how long he had to rescind it. Resident #42 said she had no knowledge related to the facility arbitration process. The Social Services Director stated she explains the arbitration process to residents upon admission before they sign it.
Arbitration Agreement Limited Venue to One County
Penalty
Summary
The facility failed to have an arbitration agreement that provided the selection of a venue convenient for both parties when there is a dispute. Review of the arbitration agreement showed that any litigation arising under or related to the agreement would have venue exclusively in [NAME] County, Florida and no other location. The deficiency was identified through record review and interviews with facility staff and residents. Residents #35, #47, and #42 were sampled from the facility’s list of newly admitted residents who signed the arbitration agreement. During interviews, Resident #35 said she was familiar with arbitration but could not explain the facility’s arbitration process. Resident #47 said arbitration involved using a mutual party to resolve issues at the facility, but he could not explain further details. Resident #42 said she had no knowledge of the facility arbitration process and was unable to explain what arbitration is. The Social Services Director said she explains the arbitration process to residents upon admission before they sign it and confirmed the agreement limited venue to [NAME] County, Florida. The DON was unable to show where the agreement stated residents had a right to a neutral venue and also confirmed the venue language. The NHA likewise confirmed the agreement stated venue was only in [NAME] County, Florida and no other location.
Failure to Preserve Resident Dignity During Meals
Penalty
Summary
The facility failed to ensure dignity during dining for 18 of 22 residents observed in the dining room during meals. The facility policy for Resident Rights stated that employees shall treat all residents with kindness, respect, and dignity and that residents have the right to a dignified existence, self-determination, and to exercise their rights without interference. During observation on 2/23/26, a staff member went from resident to resident and applied a long clothing protector to approximately 18 residents without their request or permission while they were seated in the dining room for lunch. An unidentified female resident stated, "I guess I am a messy eater." On 2/24/26, surveyors again observed 22 residents in the dining room during lunch, and a staff member placed a clothing protector at each table setting and then applied a clothing protector to each resident without asking for the resident's request or permission. Resident #59 stated she did not like wearing the clothing protector and said, "It makes me feel like an old lady." Resident #9 was observed wearing a clothing protector, and the resident's sister stated she did not see staff asking residents if they wanted to wear one and said it would be upsetting if someone did that to her at a restaurant without permission. A CNA stated staff usually put the clothing protectors on everyone unless they refuse, and the DON stated staff should be asking residents before applying a clothing protector and that it was not right to do so without asking first.
Failure to Maintain Dialysis Communication and Coordination
Penalty
Summary
The facility failed to ensure ongoing communication and collaboration with the dialysis center for a resident who required dialysis services. The resident was admitted with diagnoses including hemiplegia, end-stage renal disease, and dependence on renal dialysis, and the care plan identified a Monday, Wednesday, and Friday dialysis schedule. The facility’s policy and communication form required the charge nurse to complete pre-dialysis information, send the form with the resident to dialysis, and receive the dialysis center’s completed section back for documentation and follow-up, but this process was not consistently carried out. During interviews, the resident stated the facility did not provide a binder with communication forms to take to dialysis. An LPN said she took vital signs before dialysis but had not been filling out the communication form because the dialysis center never sent it back, and she did not know how the facility informed the dialysis center of changes in the resident’s status. A unit manager said the form should go with the resident and be returned by the dialysis center, but communication was hit or miss and telephone communication was not documented. The facility later produced only two incomplete dialysis communication forms, and the unit manager and DON verified there was no documentation of coordination with the dialysis center for the resident from November 2025 through February 24, 2026.
Failure to Provide Needed Nail Care
Penalty
Summary
The facility failed to provide nail care necessary to maintain good personal hygiene for one dependent resident. The facility’s ADL policy stated that grooming tasks, including nail care, were to be supported per resident preference and documented by the end of each shift. Resident #8, who had a history of cerebral infarction, left-sided hemiplegia, and dysphagia, was assessed as needing substantial to maximal assistance with personal hygiene and had a care plan directing staff to check nail length and clean and trim nails on bath day and as needed. During observation, the resident was found in bed with the left hand contracted into a tight fist and the left index fingernail protruding approximately 2 inches from the fingertip. The resident stated he could not trim his own nails and that staff trimmed his nails except for those on his left hand, which he said required a special tool. Record review and staff interviews showed that nail care was expected to be provided twice weekly during showers and documented on shower sheets, with refusals also to be documented. However, review of the shower sheets for January and February 2026 showed multiple shower dates when Resident #8 received a shower but no nail care was provided, while other dates documented nail care as provided. CNA staff, a unit manager, and the DON all verified that the resident’s left index fingernail was too long and should have been trimmed. The DON also confirmed that the nail had not grown that long since the last documented nail care and stated it should have been trimmed.
Sanitation Deficiencies in Kitchen and Nourishment Rooms
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in the kitchen and nourishment rooms, as evidenced by multiple observations during a survey. A milky, brown liquid with solid particles was found on the floor behind the ice machine, and debris was observed under the dry storage shelf. A green film was noted in the walk-in refrigerator, and the pipes under the three-compartment sink were dirty and leaking, with a bucket collecting grey water underneath. Additionally, food-like debris and a white film were found on the fryer basket, and a thick grease-like coating was observed on the pipes and valves behind the stove. In the nourishment room, coffee ground-sized debris and dried food residue were present, and black and green debris were found under the sink in the memory care unit nourishment room. Interviews with staff revealed a lack of awareness and action regarding these issues. The Maintenance Director acknowledged that housekeeping staff should clean behind the microwave and under cabinets but was unable to identify the debris. The Director of Nursing also could not identify the debris and attempted to clean it with bleach wipes. The Dietary Manager admitted that the kitchen staff was responsible for cleaning but did not know what the debris was and acknowledged the leaking sink pipe without having submitted a work order for repair. Housekeeping staff mentioned that there was no checklist for cleaning tasks, indicating a lack of structured cleaning protocols.
Plan Of Correction
1. All identified areas (kitchen floor, behind/under equipment, walk-in refrigerator, and nourishment rooms) were immediately addressed and cleaned on. Deep cleaning on all the affected areas conducted through. The leaking triple sink pipe was repaired on, and the area sanitized. Debris and residue in both nourishment rooms were cleaned and sanitized using EPA-registered bleach wipes or appropriate sanitizing agents were made available in nourishment rooms for as-needed cleaning. 2. A comprehensive inspection of the kitchen and all nourishment rooms was conducted on by DON, Environmental Services, and the Dietary Manager. No evidence of foodborne illness or resident harm was identified. All other high-risk food prep and storage areas were assessed for cleanliness and sanitation. 3. A detailed cleaning checklist was created and implemented for daily and weekly tasks in both kitchen and nourishment areas. It includes behind/under equipment, baseboards, and cabinet surfaces. A Deep Cleaning Schedule was established for all food service and nourishment areas and posted in each department. TELS electronic work order system was re-trained with staff to ensure all maintenance issues (e.g., leaks) are reported immediately. Daily sanitation logs are now completed by dietary and housekeeping and reviewed by the Department Heads. The Dietary Manager and Environmental Services must perform and document weekly walk-throughs using a standardized sanitation audit tool. Housekeeping and dietary staff received re-education on: - Facility policy "Cleaning and Control Standards for Environmental Surfaces" - Proper cleaning procedures, frequencies, and escalation of maintenance issues. 4. The QA Committee will review sanitation reports monthly for 4 months and adjust procedures as needed. Random monthly audits will be conducted by the Preventionist or Designee using the sanitation audit tool. Any issues found will trigger immediate re-cleaning, retraining, and documentation. Continued compliance will be tracked and reported quarterly during QA&A meetings.
Deficiency in Maintaining a Clean and Sanitary Environment
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in the kitchen and nourishment rooms, as observed during a survey. In the kitchen, a milky, brown liquid with solid particles was found on the floor behind the ice machine, and debris was present under the dry storage shelf. A green film was noted in the walk-in refrigerator, and the pipes under the three-compartment sink were dirty and leaking, with a bucket of grey water underneath. Additionally, food debris and a white film were observed on the fryer basket, and a thick grease-like coating was found on the pipes and valves behind the stove. In the nourishment rooms, coffee ground-sized debris and dried food residue were observed on the counter and baseboard. Black and green debris were found under the sink in the memory care unit nourishment room. Interviews with staff revealed a lack of awareness and action regarding these issues. The Maintenance Director was unaware of the leaking pipes and the debris, while the Dietary Manager acknowledged the cleanliness issues but had not taken steps to address them. Housekeeping staff mentioned a lack of a checklist for cleaning tasks, indicating a gap in the facility's cleaning procedures.
Plan Of Correction
1. All identified areas (kitchen floor, behind/under equipment, walk-in refrigerator, and nourishment rooms) were immediately addressed and cleaned. Deep cleaning on all the affected areas was conducted. The leaking triple sink pipe was repaired, and the area sanitized. Debris and residue in both nourishment rooms were cleaned and sanitized using EPA-registered bleach wipes or appropriate sanitizing agents that were made available in nourishment rooms for as-needed cleaning. 2. A comprehensive inspection of the kitchen and all nourishment rooms was conducted by the DON, Environmental Services, and the Dietary Manager. No evidence of foodborne illness or resident harm was identified. All other high-risk food prep and storage areas were assessed for cleanliness and sanitation. 3. A detailed cleaning checklist was created and implemented for daily and weekly tasks in both kitchen and nourishment areas. It includes behind/under equipment, baseboards, and cabinet surfaces. A Deep Cleaning Schedule was established for all food service and nourishment areas and posted in each department. The TELS electronic work order system was re-trained with staff to ensure all maintenance issues (e.g., leaks) are reported immediately. Daily sanitation logs are now completed by dietary and housekeeping and reviewed by the Department Heads. The Dietary Manager and Environmental Services must perform and document weekly walk-throughs using a standardized sanitation audit tool. Housekeeping and dietary staff received re-education on facility policy "Cleaning and of Environmental Surfaces," proper cleaning procedures, frequencies, and escalation of maintenance issues, and control standards for food service areas. 4. The QA Committee will review sanitation reports monthly for 4 months and adjust procedures as needed. Random monthly audits will be conducted by the Preventionist or Designee using the sanitation audit tool. Any issues found will trigger immediate re-cleaning, retraining, and documentation. Continued compliance will be tracked and reported quarterly during QA&A meetings.
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What surveyors actually found near you
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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 Arcadia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Douglas Jacobson State Veterans Nursing Home | 20.6 mi | ★★★★★ | 1 | 0 |
| Solaris Healthcare Charlotte Harbor | 22.2 mi | ★★★★★ | 1 | 0 |
| Vivo Healthcare Wauchula | 22.2 mi | ★★★★★ | 0 | 0 |
| Village Place Healthcare And Rehabilitation Center | 22.3 mi | ★★★★★ | 0 | 0 |
| Harbour Health Center | 22.4 mi | ★★★★★ | 6 | 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.