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 Healthcare And Rehab Of Sanford during CMS and state inspections, most recent first.
The facility failed to maintain a comprehensive infection prevention and control program, resulting in inadequate monitoring of antibiotic use, poor infection surveillance during a COVID-19 outbreak, and improper use of disinfectants due to insufficient staff training. Housekeeping staff were unclear about cleaning chemicals and infection control practices, and documentation of infection surveillance and antibiotic stewardship was missing for several months. Leadership changes and lack of staff accountability further contributed to these deficiencies, and key recommendations from health authorities were not documented or acted upon.
A resident with complex medical needs did not have all administered doses of an IV antibiotic accurately documented on the MAR. Several scheduled doses were either left blank or marked without explanation, and staff interviews revealed that nurses forgot to document administration or failed to record physician notification for missed doses, contrary to facility policy requiring immediate documentation.
A nurse administered a Lantus insulin injection to a resident in a common area with other residents present, rather than in a private setting as required by facility policy. The nurse believed this was acceptable due to the resident already being out of his room and was unaware of the privacy requirement, despite having received orientation. The incident was observed by the unit manager, who confirmed that medication administration should occur in private to maintain resident dignity.
A resident with a history of a condition affecting his left side was not provided with necessary ROM care, as he was observed without his prescribed splints. The resident could not apply the splints himself and reported not wearing them for four months. The facility's documentation did not verify that the splints were applied, despite being part of the care plan.
A resident with a condition affecting his left side was not assisted with wearing necessary devices, as per his care plan, for four months. Despite the resident's inability to apply the devices himself and the care plan's instructions, the devices were found unused in a drawer. The facility staff failed to provide the required support, and there was no evidence to verify that the devices had been applied as documented.
Failure to Implement Comprehensive Infection Control Program During COVID-19 Outbreak
Penalty
Summary
The facility failed to develop and implement a comprehensive infection prevention and control program, as evidenced by inadequate monitoring of antibiotic use, poor documentation and maintenance of infection surveillance during a COVID-19 outbreak, and improper infection control practices across both units. An Infection Control Assessment and Response Report (ICAR) by the Florida Department of Health identified that frontline staff had not received sufficient training on the use of disinfectants for different isolation precautions, resulting in the use of incorrect cleaning agents in rooms under transmission-based precautions. Additionally, access to hand sanitizer was limited, and there was confusion regarding the use of EPA-approved disinfectants for specific pathogens. Interviews revealed that housekeeping staff were uncertain about the chemicals they were using, with one housekeeper admitting to using mislabeled bottles and lacking knowledge about infection control practices and expectations. The housekeeper also reported inconsistent availability of personal protective equipment (PPE) and a lack of formal education on transmission-based precautions or posted signage. The Housekeeping Director confirmed that staff had not received formal infection control education from the facility and acknowledged confusion regarding the appropriate use of disinfectants, which was only corrected after the Department of Health's visit. Further review of facility records showed significant gaps in infection surveillance and antibiotic stewardship documentation, with missing reports for several months during the outbreak period. The Infection Control binder lacked documentation of the Department of Health's visit, recommendations, or follow-up actions. Leadership changes and lack of staff accountability contributed to these deficiencies, and the Unit Manager and Administrator were unaware of key recommendations and did not attend relevant meetings. The facility also failed to convene a Quality Assurance and Performance Improvement (QAPI) meeting to address the identified infection control deficiencies.
Failure to Accurately Document Medication Administration on MAR
Penalty
Summary
The facility failed to accurately document the administration of medications on the Medication Administration Record (MAR) for a resident with multiple complex diagnoses, including pneumonia, multidrug-resistant infections, quadriplegia, and dementia. Physician orders required the administration of Cefiderocol intravenously every 8 hours for a specified period. Review of the MAR revealed blank entries for scheduled doses on two occasions and an unexplained 'X' for another scheduled dose, with no documentation in the medical record to indicate whether the medication was administered, the reason for non-administration, or if the physician was notified. Interviews with facility staff confirmed that the antibiotic was present in the facility at the time of the missed dose, but there was no progress note or documentation explaining the missed or undocumented doses. Staff acknowledged that on at least one occasion, the medication was not administered because it had not yet arrived, and the physician was reportedly contacted, but this was not documented. On other occasions, nurses admitted to forgetting to document the administration of the medication after it was given. The facility's policy requires immediate documentation of medication administration, but this was not followed, resulting in incomplete and inaccurate medical records for the resident.
Failure to Ensure Privacy During Injectable Medication Administration
Penalty
Summary
A nurse was observed administering an injectable medication, specifically Lantus insulin, to a resident in a common area of the facility while five other residents were present. The resident, who had diagnoses including muscle wasting, type 2 diabetes, infection of an amputation stump, and heart failure, was seated in a wheelchair at the time. The resident's medical record indicated intact cognition and no rejection of care. The nurse stated she administered the injection in the common area because the resident was already out of his room and believed it was acceptable, as she had previously given oral medications in similar settings. She was unaware that this practice was inappropriate and had not been informed that injections should not be administered outside a resident's room. The facility's Wing One Unit Manager confirmed that nurses were expected to administer medications and perform treatments inside residents' rooms to ensure privacy. The Unit Manager also observed the injection being administered in the common area and noted that, despite the nurse being new to the facility, she had significant nursing experience and should have known the proper procedure. Review of the facility's policies and the nurse's orientation documentation confirmed that privacy was to be provided when administering medications and that the facility aimed to protect and promote resident rights and dignity.
Failure to Provide ROM Care for Resident
Penalty
Summary
The facility failed to provide appropriate range of motion (ROM) care for a resident who was admitted with a history of a condition affecting his left non-dominant side, resulting in atrophy. The resident was observed multiple times without the necessary extension and resting splints that were part of his care plan. The resident expressed that he was unable to put on the splints himself and that a Certified Nursing Assistant (CNA) who used to assist him no longer worked at the facility. The splints were found in a drawer in the resident's room, and he reported not having worn them for the past four months. The Unit Manager (UM) confirmed that the responsibility for placing the splints on residents lay with the nurses and CNAs. Despite documentation in the Electronic Health Record indicating that the splints were applied on specific dates, there was no evidence to verify that the resident had been wearing them. The Rehab Director and Occupational Therapist noted that the splints were necessary to prevent worsening of the resident's condition if not worn as ordered.
Plan Of Correction
1. The physician for resident #75 was notified on and new orders were given for a , evaluation for a spiit program for management. Evaluation was completed on . New orders were given by for a management program on. 2. On an audit was completed by Director of Nursing/designee to ensure residents with a current management program have an appropriate and physician order. Evaluations and clarification orders were received as necessary. 3. From to education was provided to the licensed nurses and CNAs by the Director of Nursing/designee on following physician orders for programs and ensuring there is appropriate documentation in the resident's electronic health record, including documentation of resident refusals. 4. An audit will be completed by Director of Nursing/designee weekly for four weeks and then monthly for two months to ensure residents with a current management program have on appropriate according to physician orders. The results of the audits will be reported to the Quality Assessment, Assurance, and Compliance Committee monthly for three months or until the committee has determined substantial compliance has been met.
Failure to Provide Required Assistive Devices
Penalty
Summary
The facility failed to provide adequate and appropriate health care for a resident who required assistance with wearing a left upper extremity extension and a resting splint. The resident, who had a history of a condition affecting his left non-dominant side, was observed multiple times without the necessary devices, which were supposed to be applied daily as part of his care plan. The resident expressed that he could not put the devices on himself and that a CNA who used to assist him no longer worked at the facility. Despite the resident's need and the care plan instructions, the devices were found in a drawer, unused for the past four months. The Unit Manager acknowledged that the responsibility for placing the devices on the resident lay with the nurses and CNAs, and there was a task section in the Electronic Health Record indicating the orders for the devices. However, there was no evidence provided to verify that the devices had been applied as documented. The Rehab Director and Occupational Therapist confirmed that the devices were necessary to prevent worsening of the resident's condition, highlighting the facility's failure to adhere to the resident's care plan and provide the required support services.
Plan Of Correction
1. The physician for resident #75 was notified on and new orders were given for a evaluation for a split program for management. Evaluation was completed on. New orders were given by for a management program on. 2. On an audit was completed by Director of Nursing/designee to ensure residents with a current management program have an appropriate and physician order. Evaluations and clarification orders were received as necessary. 3. From to education was provided to the licensed nurses and CNAs by the Director of Nursing/designee on following physician orders for programs and ensuring there is appropriate documentation in the resident's electronic health record, including documentation of resident refusals. 4. An audit will be completed by Director of Nursing/designee weekly for four weeks and then monthly for two months to ensure residents with a current management program have on appropriate according to physician orders. The results of the audits will be reported to the Quality Assessment, Assurance, and Compliance Committee monthly for three months or until the committee has determined substantial compliance has been met.
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 188 citations issued within 25 miles in the last 12 months — including the 9 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 Sanford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Debary Health And Rehabilitation Center | 6.3 mi | ★★★★★ | 10 | 0 |
| Aviata At Lake Mary | 6.5 mi | ★★★★★ | 0 | 0 |
| Orange City Nursing And Rehab Center | 7.2 mi | ★★★★★ | 0 | 0 |
| West Volusia Healthcare And Rehabilitation Center | 8.1 mi | ★★★★★ | 0 | 0 |
| Longwood Health And Rehabilitation Center | 9.4 mi | ★★★★★ | 10 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.