Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Egret Cove Center during CMS and state inspections, most recent first.
Two residents experienced significant delays in medication administration, affecting thirty-one residents overall. Medications were administered outside the facility's timing parameters, with some doses not given at all. Staff shortages and shift changes contributed to the delays, and there was a lack of physician notification as required by facility policy.
The facility failed to ensure call bell lights were within reach for six residents, including those with severe contractures and cognitive impairments. Observations showed call bell lights on the floor or wrapped around bed legs, making them inaccessible. Staff confirmed the expectation for call bell lights to be within reach, highlighting a deficiency in providing necessary access to call assistance equipment.
A facility failed to provide a resident and their representative with a summary of the baseline care plan within 48 hours of admission. The resident, admitted with a UTI, multinodular goiter, and carotid artery issues, and their spouse were not informed about the care plan, duration of stay, or services. Despite requests, no evidence of the care plan being shared was provided.
Several residents in the facility were found to have deficiencies in their care plans and safety measures. A resident with severe contractures did not have an appropriate care plan, and there were inconsistencies in his feeding status and meal documentation. Other residents were unable to reach their call bells, despite care plans indicating they should be within reach. The DON confirmed the expectation for call bells to be accessible, highlighting a failure to adhere to facility policies.
A resident with chronic respiratory conditions experienced distress due to inadequate respiratory care and assessment. Despite the resident's need for oxygen therapy and a CPAP machine, there were no physician orders for the device. A PCA reported the resident's distress to the weekend supervisor, who dismissed the concerns. An RN later assessed the resident and sent them to the hospital after a nebulizer treatment was ineffective. The facility's response was delayed, and there was a lack of documentation and adherence to care policies.
A facility failed to document meal consumption for a resident with severe medical conditions, including muscle wasting and dysphagia. Despite a care plan involving tube feeding and oral intake, the resident's meal consumption was not consistently recorded, with 34 out of 57 meal opportunities lacking documentation. The DON confirmed the staff's responsibility to document meals and refusals, highlighting a deficiency in maintaining accurate medical records.
The facility failed to initiate an Enhanced Barrier Precautions (EBP) isolation program for thirteen residents and did not implement effective infection control practices in the laundry area. Clean linens were exposed to the elements, and improper drying methods were used, leading to unsanitary conditions.
The facility failed to develop and update comprehensive care plans for two residents, resulting in incomplete and outdated care plans. One resident's care plan included outdated information, while another resident's care plan lacked necessary interventions for fall prevention and infection control.
The facility failed to honor a resident's right to self-determination by not providing options for urinal placement and not addressing the need for a longer bed frame. Despite repeated requests and complaints, staff did not provide alternative solutions, and the facility's grievance log showed no grievances filed for the resident.
The facility failed to accurately code the MDS assessments for two residents, one with a contracted left hand and another with multiple diagnoses including Secondary Parkinsonism. Staff acknowledged the errors, and the DON emphasized the importance of accurate MDS coding.
The facility failed to develop a trauma-informed care plan for a resident diagnosed with PTSD, despite the diagnosis being documented in her chart. Interviews revealed that staff were unaware of the PTSD diagnosis until recently, and the resident's care plans did not include any measures addressing her PTSD, contrary to the facility's policy.
The facility failed to provide ADL grooming for a resident who was observed with missing teeth and facial hair. The resident's care plan lacked hygiene interventions, and a CNA did not assist with shaving because the resident did not ask for it. The DON stated that staff should assist with personal hygiene care regardless of requests.
The facility failed to ensure a physician order for oxygen administration for a resident with COPD and did not have emergency tracheostomy supplies readily available for another resident. Staff were unsure of the correct oxygen order, and the resident's medical record lacked an order for oxygen. Additionally, the resident's room lacked necessary tracheostomy tubes, which were later provided by the DON.
A resident with multiple diagnoses, including end-stage renal disease, did not receive breakfast or a snack for dialysis, despite physician orders and care plan requirements. Staff interviews revealed a lack of communication and coordination between nursing and dietary staff, leading to unmet dietary needs.
The facility failed to post the nurse staffing data on two of four days during the survey. Observations on two separate days revealed that the total number and actual hours worked per shift for licensed and unlicensed staff were not posted. Staff P, the CNA staffing coordinator, confirmed the delay in posting due to the surveyors' arrival and other issues.
The facility failed to ensure that a resident with multiple cognitive impairments understood the arbitration agreement they signed. The resident, who had diagnoses including Schizophrenia and Intellectual Disability, was unable to read or write and had moderate cognitive impairment. Despite this, the resident signed the agreement without adequate communication or review by the facility.
The facility failed to coordinate transportation for residents to attend medical appointments, resulting in missed appointments for four residents. Additionally, the facility did not properly apply and monitor a medication patch for a resident, leading to a buildup of secretions. Staff interviews revealed a lack of communication and coordination in arranging transportation and ensuring proper medication administration.
Medication Administration Delays in LTC Facility
Penalty
Summary
The facility failed to ensure timely administration of medications for two residents, resulting in thirty-one residents receiving medications outside of the facility's medication timing parameters. Resident #2's Medication Administration Audit Report for October 2024 showed multiple instances of late medication administration, including medications scheduled for 9:00 a.m. being administered as late as 10:54 a.m. and 5:00 p.m. medications being administered as late as 7:36 p.m. Additionally, on certain dates, medications scheduled for 9:00 p.m. were not administered at all. The facility's progress notes did not include notification to the resident's primary physician regarding these late administrations. Observations and interviews conducted on December 2 and 3, 2024, revealed systemic issues with medication administration. Staff A, a Registered Nurse/Unit Manager, acknowledged that medications were late for 15 residents due to a sick call that was not communicated to her. Similarly, Staff C, an RN who normally works the night shift, struggled with the day shift's medication demands, resulting in late administration for 16 residents. The Director of Nursing and Assistant Director of Nursing were aware of these issues but could not provide a clear explanation for the delays. Resident #3's Medication Administration Audit Report for October 2024 also showed numerous instances of late medication administration across various dates and times. Despite these repeated occurrences, there was no documentation of physician notification regarding the late administration of medications. The facility's policy requires medications to be administered within 60 minutes of the scheduled time and mandates physician notification if medications are not administered as ordered, but these protocols were not followed.
Inadequate Placement of Call Bell Lights
Penalty
Summary
The facility failed to ensure adequate placement of call assistance equipment for six residents, leading to a deficiency in providing necessary access to call bell lights. During a facility tour, it was observed that several residents, including those with severe contractures and cognitive impairments, did not have their call bell lights within reach. For instance, one resident with severe contractures was unable to access the call bell light, which was found on the floor at the bottom of the tube feeding pole. Another resident confirmed she could not reach her call bell light, which was looped over the bed's side rail and obstructed by padding. Additional observations revealed that other residents had their call bell lights on the floor or wrapped around the bed's leg, making them inaccessible. Interviews with staff, including an LPN and the Director of Nursing, confirmed that the expectation was for call bell lights to be within reach of all residents, especially those who are cognitively impaired. The deficiency was identified as a failure to ensure that residents could call for assistance when needed, as evidenced by the placement of call bell lights out of reach.
Failure to Provide Baseline Care Plan Summary
Penalty
Summary
The facility failed to provide evidence of a summary of the baseline care plan to a resident and their representative within 48 hours of admission. On observation, the resident was found in bed with eyes closed, and during an interview, the resident's spouse expressed that she had not received any communication regarding the care plan, duration of stay, or services to be provided. The resident also expressed a desire to understand the services and reasons for his stay. The resident was admitted with diagnoses including a urinary tract infection, nontoxic multinodular goiter, and occlusion and stenosis of an unspecified carotid artery. Despite requests made to the Nursing Home Administrator, Director of Nursing, and Traveling MDS Coordinator, no evidence was provided to show that the baseline care plan was shared with the resident or their representative.
Deficiencies in Care Plan Implementation and Resident Safety
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for several residents, leading to deficiencies in care. Resident #7, who was observed in a fetal position with severe contractures and dry lips, did not have a care plan addressing his contractures. Despite being on a tube feeding regimen, there was confusion about his feeding status, as he was observed with an untouched meal tray and expressed a desire for water. The resident's call bell was found on the floor, out of reach, and there were inconsistencies in the documentation of his meal consumption, with many meals undocumented. Resident #8 was observed unable to reach her call bell, which was looped over the bed's side rail, obstructed by padding. Her care plan included interventions to ensure the call light and frequently used items were within reach, but this was not implemented. Similarly, Resident #9's call light was found on the floor, despite her care plan specifying that the call light should be within reach due to her fall risk. Resident #11 also had her call bell on the floor, contrary to her care plan's intervention to keep it within reach. The Director of Nursing confirmed that it was expected for call bells to be within reach for all residents, especially those who are cognitively impaired. The facility's policy emphasized the importance of providing necessary care and services to maintain residents' well-being, including monitoring conditions and responding with appropriate interventions. However, the observations and interviews revealed a lack of adherence to these policies, resulting in deficiencies in the care provided to the residents.
Failure to Provide Timely Respiratory Care
Penalty
Summary
The facility failed to provide timely respiratory assessment and care for a resident with a history of chronic respiratory conditions, including COPD, acute and chronic respiratory failure, and dependency on oxygen. The resident was admitted with a BIMS score indicating cognitive intactness and required substantial assistance for daily activities. Despite the resident's complex medical history and the need for oxygen therapy, there were no physician orders for a CPAP machine, which was necessary for the resident's care. The resident experienced shortness of breath and elevated blood pressure, but the facility's response was delayed and inadequate. On the morning of the incident, a Patient Care Assistant (PCA) noticed the resident was in distress and reported it to the weekend supervisor, who dismissed the concerns. The PCA then informed a Registered Nurse (RN) who assessed the resident and decided to send them to the hospital after a nebulizer treatment proved ineffective. The RN noted the resident's increased respiratory rate and distress, but the initial response from the weekend supervisor was insufficient, as she did not assess the resident or take immediate action. Interviews with staff revealed inconsistencies in the facility's response to the resident's condition. The weekend supervisor claimed to have assisted with paperwork and reported the situation to the Director of Nursing (DON), but there was no documentation of a thorough assessment or timely intervention. The DON confirmed the lack of a CPAP order and acknowledged the facility's failure to locate the resident's admission paperwork. The facility's policies on physician orders and care planning were not adequately followed, contributing to the deficiency in care provided to the resident.
Failure to Document Meal Consumption for Resident
Penalty
Summary
The facility failed to ensure proper documentation of meal consumption for a resident with severe contractions and multiple medical conditions, including muscle wasting, dysphagia, and spinal stenosis. The resident, who was observed in a fetal-like position, reported inconsistencies in receiving pleasure foods and water by mouth. Despite having a care plan that included tube feeding and oral intake during waking hours, the resident's meal tray was found untouched, and there was a lack of documentation regarding meal consumption. Upon review, it was found that from September 29 to October 17, there were 34 instances out of 57 meal opportunities where the resident's meal consumption was not documented. The Director of Nursing confirmed that the staff were supposed to document meal consumption and refusals, but the records did not consistently reflect the offering of three meals a day. This lack of documentation indicates a failure to adhere to the care plan and maintain accurate medical records for the resident.
Failure to Implement Enhanced Barrier Precautions and Maintain Proper Laundry Practices
Penalty
Summary
The facility failed to initiate an Enhanced Barrier Precautions (EBP) isolation program for thirteen residents identified as requiring EBP due to increased risk for infection from conditions such as tube feedings, wounds, and indwelling catheters. The Director of Nursing (DON) acknowledged awareness of the CDC's new EBP recommendations but admitted that the facility had not yet implemented the program. The DON mentioned plans to place bins for gloves and gowns and order proper signage, but no specific dates for staff education were provided. The DON also expressed concerns about compliance from staff and residents and deferred the responsibility to the new Infection Control Preventionist. During a tour of the laundry area, several deficiencies were observed in the handling, storage, processing, and transportation of linens and laundry. Clean linen carts were found with tattered covers, exposing the linen to the elements, and were located near bird nests and garbage bins. The Housekeeping/Linen Manager (HM) demonstrated improper drying methods for rags, which were left moist and musty-smelling. Clean and soiled linens were stored together, and the laundry area had issues with wastewater overflow and inadequate air conditioning, leading to unsanitary conditions. The facility's policies on barrier precautions and laundry operations were reviewed and found to be inconsistent with observed practices. The policies emphasized the importance of preventing the spread of infections through proper handling and storage of linens, but the facility failed to adhere to these guidelines. The lack of proper implementation of EBP and the unsanitary conditions in the laundry area contributed to the overall deficiency in the facility's infection control program.
Failure to Develop and Update Comprehensive Care Plans
Penalty
Summary
The facility failed to ensure the development, revision, and/or implementation of comprehensive care plans for two residents. Resident #73, who had multiple diagnoses including end-stage renal disease and diabetes, did not have an updated care plan upon readmission. The resident's care plan included outdated information such as being on isolation for COVID-19 and having an elopement risk, which the resident denied. The Clinical Reimbursement Director confirmed that the care plan should have been reviewed and revised at readmission but was not. Resident #259, who had a history of falls and multiple infections, also did not have a comprehensive care plan developed upon admission. The resident was observed in a high bed position without floor mats or a reachable call light, despite having a history of falls. The resident's care plan did not include necessary interventions for fall prevention or infection control. The Clinical Reimbursement Director confirmed that the care plan should have been developed and revised as needed but was not. The facility's policies and procedures require that each resident receive necessary care and services in accordance with a comprehensive assessment and plan of care. The care plan should be an interdisciplinary communication tool that is reviewed and revised periodically. However, the facility failed to adhere to these policies for the two residents, resulting in incomplete and outdated care plans.
Failure to Honor Resident's Self-Determination and Address Needs
Penalty
Summary
The facility failed to honor Resident #104's right to self-determination by not providing options for urinal placement and not addressing the need for a longer bed frame. Despite the resident's repeated requests and complaints about the urinal being placed on the over bed table, which caused discomfort and an unpleasant smell during meals, the staff did not provide an alternative solution. Additionally, the resident, who is cognitively intact with a BIMS score of 15/15, expressed discomfort due to his feet pressing against the footboard of the bed, but the staff only provided a temporary solution by placing a pillow under his feet instead of addressing the need for a longer bed frame. Interviews with various staff members, including CNAs, an LPN, an RN, and the DON, revealed a lack of awareness and action regarding the resident's requests. The facility's grievance log showed no grievances filed for the resident, and the Social Service Director confirmed that no grievances were recorded. The DON admitted to being unaware of the resident's requests and could not explain why the requests were not facilitated. The facility also failed to produce a policy for choices or accommodation of need when requested during the survey.
Inaccurate MDS Coding for Two Residents
Penalty
Summary
The facility failed to ensure the comprehensive Minimum Data Set (MDS) assessment was accurately coded for two residents. Resident #24, who was admitted with diagnoses including Hemiplegia and Hemiparesis, was observed with a contracted left hand and reported that staff had not assisted him with putting on his splint. Despite this, his MDS assessment inaccurately indicated no upper extremity impairment. Staff A, a Registered Nurse/Clinical Reimbursement Specialist, acknowledged the mistake, stating that the resident did have an upper extremity impairment due to left hemiparesis, which should have been identified in the MDS assessment. Resident #17, who had multiple diagnoses including Secondary Parkinsonism and Schizoaffective Disorder, was observed in a wheelchair with both legs bent and feet resting on the seat cushion. The resident's MDS assessment failed to mark the PASRR Level II section, inaccurately indicating that the resident did not have a Level II PASRR. Staff A confirmed that the resident did have a PASRR Level II prior to the completion of the MDS and acknowledged the error in coding. The Director of Nursing emphasized the importance of accurate MDS coding. The facility's policy and procedure for the Resident Assessment Instrument (RAI) require interdisciplinary team members to participate in the MDS completion process and ensure accurate coding. However, the errors in the MDS assessments for Residents #24 and #17 indicate a failure to adhere to these guidelines, resulting in inaccurate documentation of the residents' conditions and needs.
Failure to Develop Trauma-Informed Care Plan for Resident with PTSD
Penalty
Summary
The facility failed to develop a care plan related to trauma-informed care for a resident diagnosed with PTSD, schizoaffective disorder, bipolar type, major depressive disorder, and adjustment disorder with anxiety. The resident confirmed her PTSD diagnosis and mentioned receiving weekly psychiatric and psychological care, including medication for PTSD-related nightmares. However, a review of her medical record revealed no assessment for PTSD and no care plan addressing her PTSD. The psychosocial history and assessment incorrectly indicated that the resident had no history of PTSD or trauma, and the care plans did not include any trauma-informed care measures. Interviews with the Director of Nursing and the Clinical Reimbursement Director revealed that the staff was unaware of the resident's PTSD diagnosis until recently, despite it being documented in her chart. The Clinical Reimbursement Director confirmed that the PTSD diagnosis should have triggered a trauma-informed care plan, which was not developed. The facility's policy on trauma-informed care mandates providing culturally sensitive care for residents with PTSD, but this was not followed in the case of the resident.
Failure to Provide ADL Grooming for Resident
Penalty
Summary
The facility failed to ensure that Activities of Daily Living (ADL) grooming was provided for one resident out of eight sampled. Observations on two separate occasions revealed that the resident was lying in bed with missing teeth and facial hair, indicating a lack of grooming. The resident's care plan, which focused on ADL, did not include any interventions related to the resident's hygiene. The resident had a BIMS score of 00, indicating an inability to complete the interview and a need for assistance with personal care due to reduced mobility and other health issues. During an interview, a Certified Nursing Assistant (CNA) stated that she did not shave the resident because he did not ask for it, only providing assistance when requested. The Director of Nursing (DON) clarified that staff were expected to assist residents with personal hygiene care regardless of whether the resident asked for help, especially if the resident was not independent. The CNA job description also indicated that ensuring residents' personal care needs were met was an essential duty, including shaving patients.
Deficiencies in Respiratory Care and Emergency Preparedness
Penalty
Summary
The facility failed to ensure a physician order was in place for the administration of oxygen for one resident and failed to ensure emergency tracheostomy supplies were readily available for another resident. Resident #21 was observed using an oxygen concentrator set to 1.5 liters per minute (LPM) without a physician order. The resident, who has chronic obstructive pulmonary disease (COPD), reported that she was supposed to be on 6 LPM and had been asking for oxygen on her wheelchair. Multiple staff members were unsure of the correct oxygen order, and the resident's medical record did not contain an order for oxygen. The resident experienced shortness of breath and mild chest pain, leading to a physician's order for a chest x-ray, which revealed pneumonia. The care plan indicated the need for oxygen therapy, but the lack of a physician order and proper monitoring led to the deficiency. In another instance, the facility failed to ensure emergency tracheostomy supplies were readily available for Resident #97. During an observation, it was confirmed that the resident's room lacked an extra or emergency tracheostomy tube. The resident's medical record indicated the need for an ambu bag and replacement tracheostomy tubes of equal size and one size smaller to be maintained at the bedside every shift. The Director of Nursing (DON) directed staff to obtain the necessary tracheostomy tubes and place them in the resident's room, highlighting the initial oversight. These deficiencies indicate lapses in the facility's adherence to physician orders and emergency preparedness protocols. The lack of a physician order for oxygen administration and the absence of emergency tracheostomy supplies could have serious implications for resident safety and care quality. The observations and interviews conducted revealed gaps in staff knowledge and documentation, contributing to the identified deficiencies.
Failure to Provide Dietary Needs for Dialysis Resident
Penalty
Summary
The facility failed to follow the comprehensive person-centered care plan and physician orders for a resident who required dialysis. Specifically, the resident did not receive breakfast or a snack to take to dialysis, despite having a physician's order and care plan indicating the need for a bag meal/snack. The resident reported having to leave for dialysis at 5:45 a.m. and not returning until lunch, resulting in a long period without food. Interviews with staff revealed that the refrigerator was broken, and the kitchen staff had not received a list of residents needing bag meals, leading to the resident not receiving the necessary dietary provisions. The resident had multiple diagnoses, including end-stage renal disease, heart failure, diabetes type 1, cachexia, hyperkalemia, protein-calorie malnutrition, and muscle wasting and atrophy. The care plan included specific interventions to manage the resident's dietary needs, such as providing a bag meal/snack for dialysis days. However, due to a lack of communication and coordination between nursing and dietary staff, the resident's dietary needs were not met. The facility's policy on dialysis management emphasized the importance of coordinating care and services, including managing special dietary regimens, but this was not effectively implemented in this case.
Failure to Post Nurse Staffing Data
Penalty
Summary
The facility failed to post the nurse staffing data to ensure the information was readily accessible to all residents and visitors during two of four days of the survey. On 5/13/2024 at 9:52 a.m., an observation revealed that the total number and actual hours worked per shift for licensed and unlicensed staff responsible for resident care were not posted. Similarly, on 5/16/2024 at 8:52 a.m., the same information was found to be missing. This deficiency was confirmed during an interview with Staff P, the CNA staffing coordinator, who stated that the posting was delayed due to the surveyors' arrival on Monday and the same issue occurred on the morning of 5/16/2024. The facility's policy and procedure, effective April 2015, require that each nursing center has sufficient nursing staff to provide necessary services and that staffing plans are reevaluated and monitored on an ongoing basis. The policy also mandates that the daily staffing hours be posted. Despite these requirements, the facility failed to comply on the specified dates, leading to the deficiency noted by the surveyors.
Failure to Ensure Understanding of Arbitration Agreement
Penalty
Summary
The facility did not ensure that a resident who entered into an arbitration agreement understood the contract contents. During an interview, the Nursing Home Administrator (NHA) stated that all residents were presented with the option to review and sign arbitration agreements upon admission, and the Admission Director (AD) was responsible for ensuring that everyone understood what was being signed. However, a review of the Admission Record for a resident with multiple diagnoses, including Schizophrenia and Intellectual Disability, showed that the resident had signed the arbitration agreement despite having moderate cognitive impairment and being unable to read or write. The resident's Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form indicated that the resident was alert but disoriented and could follow simple instructions. Additionally, the Occupational Therapy Plan of Care and the Admission Minimum Data Set (MDS) further confirmed the resident's cognitive impairments. The AD stated that the goal was to have residents signed in within 48-72 hours and that the Admission Coordinator (AC) completed the sign-ins, including the Arbitration Agreement. The AD confirmed that the resident had signed the arbitration agreement with the AC as the facility representative. The resident's representative stated that there had been very little communication with the facility regarding admission paperwork and that the resident had been diagnosed with an Intellectual Disability from a young age, never learning to read or write. The facility did not provide a Policy and Procedure for Arbitration Agreements despite multiple requests before the survey exit.
Failure to Coordinate Transportation and Properly Apply Medication Patch
Penalty
Summary
The facility failed to ensure residents received treatment and care in accordance with professional standards of practice. Specifically, the facility did not coordinate transportation for residents to attend their medical appointments, resulting in missed appointments for four residents. Resident #209 missed multiple appointments for her skin grafts due to transportation issues, causing her significant distress and potentially delaying her healing process. The Medical Records Manager was unaware of the appointments and did not arrange transportation, leading to further missed appointments. Additionally, Resident #33 missed a CT scan because the facility did not provide the necessary paperwork, and Resident #7 missed a dental appointment due to transportation not showing up. Resident #58 expressed frustration with the facility's transportation arrangements and chose to make her own arrangements to avoid further issues. The facility also failed to properly apply and monitor a medication patch for Resident #81. The resident was observed with a scopolamine patch that was not intact and not labeled, leading to a buildup of secretions in his mouth. The patch was supposed to be changed every 72 hours, but the Medication Administration Record (MAR) showed inconsistent documentation of the patch's application and removal. The Director of Nursing confirmed that the staff should have documented medication administration on paper MARs when the internet was down, but this was not done. The facility's policy required patches to be labeled, monitored for placement every shift, and documented on the MAR, but these procedures were not followed for Resident #81. Interviews with staff revealed a lack of communication and coordination in arranging transportation and ensuring proper medication administration. The Medical Records Manager, Director of Nursing, and Nursing Home Administrator all acknowledged the issues but did not take timely action to resolve them. The facility's policies and procedures for transportation services and transdermal delivery systems were not effectively implemented, leading to deficiencies in resident care and treatment.
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 374 citations issued within 25 miles in the last 12 months — including the 27 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 Saint Petersburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Springs At Boca Ciega Bay | 0.5 mi | ★★★★★ | 5 | 4 |
| Marion And Bernard L Samson Nursing Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Boca Ciega Center | 0.8 mi | ★★★★★ | 1 | 0 |
| Eagle Lake Nursing And Rehab Care Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Gulfport Nursing Center | 1.4 mi | ★★★★★ | 2 | 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.