Above average — CMS composite of the measures below.
The next survey window likely opens around May 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 Havens At Pensacola, The during CMS and state inspections, most recent first.
Staff failed to follow infection control practices during resident care, including missing PPE supplies, not wearing isolation gowns for EBP contact care, skipping hand hygiene, and improperly handling contaminated wound dressings. A resident with MRSA-positive wound care had contaminated materials discarded in regular trash and an ordered dressing not applied as prescribed. Another resident with a dialysis CVC and indwelling catheter had no EBP sign or PPE cart outside the room, and uncovered oxygen tubing and nebulizer equipment were observed left exposed.
Medication Error Rate Exceeded Allowed Threshold: An LPN prepared and nearly administered two incorrect medications for a resident, including a BP medication without checking the resident’s BP despite a hold parameter and Meclizine at 25 mg instead of the ordered 12.5 mg. The survey found the facility’s medication error rate was 8% (2 errors out of 25 opportunities), exceeding the required rate of less than 5%.
The facility failed to maintain complete and accurate documentation of consent and administration for immunizations for several residents. A review of the EMR with the ICN revealed missing information such as completion dates, vaccine lot numbers, and expiration dates. The ICN could not explain the omissions, and the DON stated that obtaining vaccine consent or refusal was part of the admission process. The facility's vaccine policy requires detailed documentation in the resident's medical record.
Infection Control Failures During Resident Care
Penalty
Summary
The facility failed to follow infection prevention and control standards related to hand hygiene, use and availability of PPE, and storage of oxygen tubing during direct resident care for three residents. One resident had a stage 4 sacral wound culture positive for MRSA and was on contact precautions and enhanced barrier precautions (EBP). Outside that resident’s room, a PPE cart was observed without isolation gowns. A CNA confirmed the cart was out of gowns, and when she checked another PPE cart and the clean storage room, those locations were also out of gowns. Later, the same CNA provided incontinence care to the resident without wearing the required isolation gown even though the resident was on contact precautions and EBP. The resident confirmed the staff member did not wear a gown during care and stated staff did not always wear gowns while assisting her. During wound care for the same resident, an RN and a CNA were observed providing bowel incontinence care and wound treatment. One staff member did not perform hand hygiene before donning PPE and assisting with care. After removing the contaminated wound dressing from the MRSA-positive sacral wound, the RN changed gloves without performing hand hygiene. The contaminated dressing was placed in a regular clear garbage bag and later discarded in the main garbage rather than a biohazard waste bag. The ordered Hydrofera Blue dressing was not applied as prescribed; instead, sterile gauze with Triad paste was used. The DON stated staff were expected to perform hand hygiene before and after wound care, review wound care orders, and gather the appropriate supplies according to the physician’s order. A second resident with a dialysis CVC and on EBP was observed receiving incontinence care from two LPNs, and neither staff member wore an isolation gown as required for EBP contact care. Both LPNs acknowledged they were not wearing the required gown during the care. A third resident with a dialysis CVC and an indwelling catheter had no EBP signage posted on the room door and no PPE cart available outside the room on multiple observations. That resident was also observed with oxygen tubing wrapped around the wheelchair handle and left uncovered, and additional oxygen tubing was wrapped around a teddy bear on the bed and left uncovered. The DON and Infection Preventionist stated the tubing and nebulizer mask should be stored in a bag when not in use, and the Infection Preventionist acknowledged the missing EBP sign and PPE cart were an oversight.
Medication Error Rate Exceeded Allowed Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, with a documented error rate of 8% based on 2 errors out of 25 opportunities. During a medication administration observation with an LPN, Resident #81’s medications were prepared using the electronic medical record, and the nurse retrieved one Olmesartan/amlodipine/hydrochlorothiazide 40/10/25 mg tablet and one Meclizine 25 mg tablet and placed them in a medication cup. The nurse entered the resident’s room and placed the cup on the resident’s table, stating, “here’s your medication,” before the surveyor intervened and directed review of the physician orders. Review of the resident’s orders showed the Olmesartan/amlodipine/hydrochlorothiazide order included instructions to hold the medication if systolic blood pressure was less than 100, but the nurse had not checked the resident’s blood pressure before administration. The orders also showed Meclizine was prescribed at 12.5 mg, not the 25 mg tablet the nurse had prepared. In interview, the LPN confirmed she was prepared to administer the medications as set up, was unaware of the resident’s blood pressure status, and confirmed the Meclizine dose was incorrect. The unit manager stated medications were expected to be administered according to physician orders, with required vital signs obtained and medication dosage checked before administration. The resident’s care plan identified the resident as at risk for fluctuation in blood pressure and directed staff to administer medications as directed.
Incomplete Documentation of Vaccination Consents and Administration
Penalty
Summary
The facility failed to maintain complete and accurate documentation of consent and administration for immunizations for four out of five residents sampled. During a review of the electronic medical record (EMR) with the Infection Control Nurse (ICN), it was found that the consent form for one resident did not include the completion date of the administration, nor the vaccine lot number and expiration date. Another resident's record lacked the vaccine lot number and expiration date. Additionally, for two other residents, the consent form did not have the date the consent was offered and declined recorded. The ICN was unable to explain why this information was missing and acknowledged that it should have been documented. The Director of Nursing (DON) stated that obtaining vaccine consent or refusal was part of the facility's admission process, and the forms should have been uploaded to the EMR. A review of the facility's vaccine policy revealed that documentation of the date of vaccination, lot number, expiration date, person administering, and site of vaccination is required in the resident's medical record.
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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 Pensacola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bayside Health And Rehabilitation Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Rosewood Healthcare And Rehabilitation Center | 2.5 mi | ★★★★★ | 2 | 0 |
| Life Care Center Of Pensacola | 3 mi | ★★★★★ | 1 | 0 |
| Pensacola Nursing & Rehabilitation Center | 3.2 mi | ★★★★★ | 20 | 0 |
| Arabella Health & Wellness Of Pensacola | 3.4 mi | ★★★★★ | 12 | 3 |
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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.