Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Emerald Coast Center during CMS and state inspections, most recent first.
A resident with a suprapubic catheter was observed multiple times with the catheter bag uncovered and visible to roommates and other residents in the room, dining area, and smoking area. An RN confirmed the bag was visible and should be covered for dignity, and the resident stated she did not like everyone seeing her urine. Record review showed the resident had neurogenic bladder and obstructive uropathy, with a care plan intervention for a catheter bag that promotes privacy and dignity.
A resident with aphasia following a cerebral infarction had orders for PRN tramadol and pain checks every shift, but the comprehensive care plan did not include a pain plan. A CNA reported assessing pain by simply asking the resident if she hurt, even though the resident did not respond by any observable means. The MDS coordinator and DON confirmed the resident should have had a pain care plan with interventions for monitoring pain in a non-verbal resident.
The facility failed to complete an assessment of a resident’s smoking capabilities and deficits to determine whether supervision or assistance was needed. The resident was observed smoking in the designated area with staff supervision, had a smoker agreement signed, and was listed as an active smoker, but the record showed only one smoking evaluation despite diagnoses including muscle wasting, generalized muscle weakness, and need for assistance with personal care.
A facility failed to inform a resident's representative about the initiation of Olanzapine, an anti-psychotic medication, for a resident with dementia. The medical record lacked documentation of notification, and interviews with the DON and family members confirmed the absence of communication. The facility's policy requires educating the resident or representative about medication risks and benefits, which was not followed.
A resident was observed with an inhaler at her bedside without being evaluated for self-administration of medications, as required by facility policy. The resident's care plan lacked goals or interventions for self-administration, and the interim DON confirmed the oversight. The resident stated that staff left the inhaler for her use, highlighting a failure to follow the facility's procedures.
A facility failed to verify the correctness of a Level I PASRR and did not complete a Level II PASRR for a resident diagnosed with schizophrenia. The resident was admitted with undifferentiated schizophrenia, but the PASRR did not reflect this, and a later diagnosis of paranoid schizophrenia was not followed by a Level II screening. The ADON confirmed the oversight, highlighting a lapse in policy adherence.
The facility failed to provide comprehensive care plans for four residents, leading to deficiencies in their care. One resident was prescribed an anti-psychotic medication without a corresponding care plan. Another resident with diabetes, depression, and atrial fibrillation lacked a care plan for these conditions. A third resident with quadriplegia and contractures did not have a care plan for limited range of motion. Lastly, a resident on psychiatric medications lacked a care plan for monitoring medication use. The facility's policy requires comprehensive care plans, but this was not followed.
The facility was found to have improper waste management, with dumpsters overflowing and trash scattered around the perimeter. Despite daily rounds, the issue persisted over several days, as confirmed by the Dietary Manager and Maintenance Director.
The facility failed to ensure two residents understood the arbitration agreement they signed. One resident, cognitively intact, was unaware of the agreement, believing it was Medicaid paperwork. Another resident, with moderately impaired cognition, did not recall signing the agreement. The admissions director claimed to explain the agreement but often obtained signatures early in the morning, potentially contributing to the residents' lack of understanding.
A resident with diabetes was discharged into law enforcement custody without proper documentation or communication of medical needs, leading to high blood glucose levels and subsequent hospitalization. The facility's Administrator pressured law enforcement to remove the resident due to an active warrant, and staff failed to provide necessary medical information or medications.
The facility failed to notify a resident and their representative in writing of the reason for discharge, effective date, discharge location, appeal rights, and Ombudsman contact information prior to discharge. The resident was discharged into law enforcement custody due to an outstanding warrant and later diagnosed with diabetic ketoacidosis. The facility did not issue the required 30-day notice for the discharge.
Uncovered Catheter Bag Visible to Others
Penalty
Summary
The facility failed to honor Resident #59’s right to dignity by leaving the resident’s suprapubic catheter bag uncovered and visible to others on multiple occasions. On 9/22/2025, the resident was observed in bed with the catheter bag attached to the bed rail and visible to roommates, later in the dining room with the bag attached to the back of the wheelchair and visible to other residents, and again in the smoking area with the bag uncovered and visible to other residents. During an interview, Nurse D confirmed the bag was visible to other residents and stated it should be covered for dignity with a dignity bag. The resident stated that the bag is never covered and that she does not like everyone seeing her urine. Record review showed the resident had a suprapubic catheter, neurogenic bladder, and obstructive uropathy, with a care plan intervention to use a catheter bag that promotes privacy and dignity.
Failure to Develop Pain Care Plan for Non-Verbal Resident
Penalty
Summary
A comprehensive person-centered care plan was not developed and implemented for a resident with aphasia following a cerebral infarction who had orders for Tramadol 50 mg every six hours as needed for non-acute pain and for pain monitoring every shift with pain recorded on a 0-10 scale. The quarterly MDS dated 9/1/2025 identified the resident’s aphasia, and the comprehensive care plan dated 9/11/2025 did not include a pain care plan. During an interview on 9/24/2025, a CNA stated she assessed the resident for pain by asking if the resident was in pain and then asked if the resident’s foot was hurting, but the resident did not respond by any observable means. When asked how pain would be assessed if the resident did not communicate, the CNA stated, “You just have to know them.” The MDS coordinator confirmed the resident had aphasia and could not communicate, and stated the resident should have a pain care plan with interventions describing how to monitor pain in a non-verbal resident. The DON also confirmed the resident should have a pain care plan and stated she reviewed non-verbal cues for pain with the CNA.
Failure to Assess Smoking Supervision Needs
Penalty
Summary
The facility failed to complete an assessment of a resident’s capabilities and deficits to determine whether supervision and/or assistance was needed for smoking. Resident #80 was observed smoking in the designated smoking area with staff supervision on 9/22/2025 at 10:30 AM, 9/22/2025 at 2:30 PM, and 9/23/2025 at 10:35 AM. Staff interviews confirmed the resident enjoyed sitting in the sun and smoking daily, and that the resident had a current smoker agreement signed on 6/30/25. Record review showed the resident was admitted with diagnoses including muscle wasting and atrophy, need for assistance with personal care, and generalized muscle weakness, and the facility’s smoker list on 9/22/2025 included the resident on the active list. However, the resident evaluations revealed only one smoking evaluation completed on 09/22/2025 at 9:10 PM.
Failure to Notify Resident's Representative of Medication Change
Penalty
Summary
The facility failed to notify a resident or their responsible party about the initiation of an anti-psychotic medication, Olanzapine, for a resident diagnosed with dementia and cognitive impairment. The medical record review revealed no documentation indicating that the resident's representative was informed about the medication's risks, benefits, or alternative treatment options before its administration. Interviews with the Director of Nursing and two family members confirmed the lack of communication regarding the medication change. The facility's policy on the use of anti-psychotic medication, effective since October 2021, mandates educating the resident or representative about the medication's benefits and side effects and documenting their understanding, which was not adhered to in this case.
Failure to Evaluate Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to evaluate a resident for self-administration of medications, specifically for Resident #61, who was observed with an inhaler at her bedside. The resident's medical record indicated a physician's order for Breztri Aerosphere Inhalation Aerosol to be administered twice daily for Chronic Obstructive Pulmonary Disease. However, the resident's care plan did not include any goals or interventions related to self-administration of medications, which is a requirement according to the facility's policy. The interim Director of Nursing confirmed that Resident #61 had not been care planned for self-administration, and therefore, the inhaler should not have been left at the bedside. The facility's policy requires an assessment by the interdisciplinary team to determine if a resident can safely self-administer medications, which was not conducted in this case. The resident herself stated that staff would leave the inhaler at her bedside for her to use at her convenience, indicating a lapse in adherence to the facility's policy and procedures.
Failure to Complete Level II PASRR for Resident with Schizophrenia
Penalty
Summary
The facility failed to verify the correctness of the Level I PASRR and ensure a Level II PASRR screening was completed for a resident with a mental health condition. The resident was admitted with a diagnosis of undifferentiated schizophrenia, but the Level I PASRR did not indicate any mental health disorder. A new diagnosis of paranoid schizophrenia was later given, yet there was no evidence of a Level II screening being completed or requested. During an interview, the Assistant Director of Nursing (ADON) acknowledged that the facility's policy requires verification of PASRR correctness upon admission and submission of a Level II PASRR if a new mental health diagnosis is made. The ADON confirmed that no Level II PASRR was completed or submitted for the resident, indicating a lapse in the facility's admission operations and policy adherence.
Deficiencies in Comprehensive Care Planning
Penalty
Summary
The facility failed to provide comprehensive person-centered care plans for four residents, leading to deficiencies in their care. Resident #95 was prescribed the anti-psychotic medication Olanzapine, but the care plan did not include any reference to this medication or its management. Interviews with the Clinical Reimbursement Coordinator and the Director of Clinical Services confirmed that the care plan should have included details about the medication, its purpose, and related interventions. Resident #97, who has diagnoses of Diabetes Mellitus Type II, depression, and atrial fibrillation, was not provided with a care plan addressing these conditions or the medications prescribed for their management. The Clinical Reimbursement Director acknowledged the absence of a care plan for these diagnoses and confirmed that the current plan was incomplete. Resident #39, diagnosed with complete quadriplegia and multiple contractures, did not have a care plan addressing his limited range of motion or contractures. The Clinical Reimbursement Director admitted that this information was not included in the comprehensive assessment or care plan. Similarly, Resident #85, who is on multiple medications for psychiatric conditions, lacked a care plan for monitoring anti-psychotropic medication use. The facility's policy requires comprehensive care plans to be developed and reviewed by the interdisciplinary team, but this was not adhered to in these cases.
Improper Waste Management
Penalty
Summary
The facility failed to maintain proper disposal of garbage and refuse, as observed by surveyors. On multiple occasions, dumpsters behind the facility were found with open lids and overflowing trash, with additional waste scattered around the perimeter. An overturned trash can was also noted on the side of the facility. These observations were made over several days, indicating a persistent issue. Interviews with the Dietary Manager and Maintenance Director confirmed the improper waste management, with photographic evidence supporting the findings. The Maintenance Director acknowledged that daily rounds are conducted, but the trash should have been picked up, suggesting a lapse in routine maintenance procedures.
Failure to Ensure Understanding of Arbitration Agreement
Penalty
Summary
The facility failed to provide a clear understanding of the arbitration agreement to two residents, leading to a deficiency in the admission process. Resident #353, who was cognitively intact with a BIMS score of 15, was unaware of the arbitration agreement she signed. She reported that she had never seen the agreement booklet before and only signed the last page, believing it was related to Medicaid paperwork. The resident emphasized that she would not sign documents she did not understand without her mother's presence to explain them. Similarly, Resident #354, with a BIMS score of 12 indicating moderately impaired cognition, did not recall signing the arbitration agreement. She stated that a staff member asked her to sign admission paperwork without explaining its contents. Upon reviewing the agreement, she confirmed her signature but insisted she had not seen the booklet before. The admissions director's initials were present on the agreement pages, but the residents' understanding of the document was not ensured. The admissions director claimed to explain the arbitration agreement using simple language and to verify residents' understanding by checking their BIMS scores. However, the director admitted to obtaining signatures early in the morning and being out of the office for most of the day, which may have contributed to the residents' lack of understanding. The facility's policy states that the arbitration agreement is voluntary and not a precondition for admission, and residents have the right to seek legal counsel and revoke the agreement within thirty days. Despite these provisions, the residents were not adequately informed before signing.
Failure to Document and Communicate Medical Needs During Resident Discharge
Penalty
Summary
The facility failed to appropriately document the discharge of a resident into law enforcement custody and did not convey necessary medical information regarding the resident's conditions and required medications. The resident, who had diabetes and required regular insulin administration, was discharged into law enforcement custody without proper documentation or communication of his medical needs. This resulted in the resident presenting to the hospital emergency room with high blood glucose levels and later being diagnosed with diabetic ketoacidosis after being transferred to a men's shelter and then a second hospital. The incident began when the resident and his roommate were heard arguing, and the police were called. Although the roommate did not press charges, the police discovered an active warrant for the resident. The facility's Administrator informed law enforcement of the warrant and pressured them to remove the resident. The resident was eventually taken into custody four days later. During this process, the facility did not provide any medical documentation or medications to law enforcement, leading to the resident's medical condition worsening while in custody. Interviews with facility staff revealed that the Administrator and other employees were aware of the resident's medical needs but did not take steps to ensure continuity of care. The Director of Nursing acknowledged that the facility lacked a process for ensuring continued medical care for residents who are arrested. The facility's policies on discharge planning and bed hold were not followed, as the resident was not permitted to remain in the facility, and necessary medical information was not communicated to the receiving institution.
Failure to Provide Required Discharge Notice
Penalty
Summary
The facility failed to notify the resident and the resident's representative in writing of the reason for discharge, effective date of discharge, discharge location, the resident's appeal rights, and the Ombudsman contact information prior to discharge. This deficiency was identified in the case of a resident who was discharged into the custody of law enforcement due to an outstanding warrant. The resident was admitted to the facility and later involved in an altercation with his roommate, which led to the police being called. Although the police found an active warrant for the resident, they were unable to transfer him at that time. The facility did not provide a discharge notice to the resident or his representative, as required by policy and regulations, before the resident was taken into custody by law enforcement and subsequently discharged from the facility without proper documentation or notification. The Director of Nursing (DON) and the Administrator both confirmed that no discharge notice was issued to the resident. The DON provided documentation of two previous behavioral concerns but was unable to provide any other documentation to support the claim that the resident was endangering other residents. The Administrator stated that the facility chose not to readmit the resident due to the open warrant and the alleged assault on his roommate. Despite the facility's policy requiring a 30-day notice for facility-initiated discharges, no such notice was given in this case. The resident was later found to have been admitted to a hospital with high blood sugar and subsequently diagnosed with diabetic ketoacidosis. The hospital attempted to discharge the resident back to the facility, but the facility refused to readmit him, citing the recent incarceration and policy violations. The resident was eventually discharged to a men's shelter and later admitted to another hospital. The facility's failure to provide the required discharge notice and follow proper procedures led to the deficiency identified in this report.
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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 Fort Walton Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westwood Nursing And Rehabilitation Center | 3.6 mi | ★★★★★ | 0 | 0 |
| Fort Walton Rehabilitation Center, Llc | 4.2 mi | ★★★★★ | 0 | 0 |
| Destination Health And Rehabilitation Center | 8.1 mi | ★★★★★ | 1 | 0 |
| Manor At Blue Water Bay, The | 12.4 mi | ★★★★★ | 1 | 0 |
| Grand Boulevard Health And Rehabilitation Center | 17.7 mi | ★★★★★ | 4 | 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.