Above average — CMS composite of the measures below.
The next survey window likely opens 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 Homestead Manor A Palace Community during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in the kitchen, with observations revealing food stains and buildup on the gas burner stove. Despite claims of daily and monthly cleaning, the Administrator could not provide documentation for daily cleaning tasks. The unsanitary conditions had the potential to affect 84 out of 85 residents who consume food orally.
A resident with severe cognitive impairment was fed by a Hospice CNA standing over them, contrary to facility policy requiring staff to sit at the resident's level. The CNA cited the lack of a chair as the reason for standing. The DON and RN confirmed the expectation for staff to sit while feeding residents, highlighting a failure to maintain resident dignity.
The facility failed to complete accurate PASRRs for two residents, omitting diagnoses of depression and psychotic disorders. One resident's PASRR did not reflect their history of depression and psychotic disorder, despite being prescribed medications for these conditions. The DON claimed these were secondary to Parkinson's Disease, but this was undocumented. Another resident's PASRR omitted major depressive disorder and psychotic disorder, with the DON and Director for Admissions not submitting a review, believing the conditions were secondary to a medical diagnosis. The facility's policy required comprehensive assessments, but the PASRRs did not accurately reflect the residents' mental health diagnoses.
Failure to Maintain Sanitary Kitchen Conditions
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, specifically regarding the cleanliness of the gas burner stove. Observations revealed brown-like food stains and food particles on the stove top, along with black-like buildup on the side panel of the stove and grill. These unsanitary conditions were noted during a survey, which had the potential to affect 84 out of 85 residents who consume food orally. Interviews with the Dietary Supervisor and Registered Dietitian indicated that the stove was cleaned daily, with a deep clean conducted monthly. However, the Administrator could not provide documentation for daily cleaning tasks, only for weekly and monthly cleaning tasks. Further observations on subsequent days showed attempts to clean the stove, but the black-like buildup on the side panel persisted. The Dietary Supervisor and Administrator reiterated that the stove was cleaned daily and underwent a more thorough cleaning weekly and monthly. Despite these claims, the photographic evidence submitted during the survey continued to show the presence of buildup, indicating a failure to maintain the stove in a sanitary condition as required.
Failure to Maintain Resident Dignity During Feeding
Penalty
Summary
The facility failed to uphold the dignity and respect of a resident during mealtime, as observed during a survey. Resident number 10, who has severe cognitive impairment and is dependent on assistance for activities of daily living and eating, was fed a pureed lunch by a Hospice CNA who was standing over the resident. This action was contrary to the facility's Dining Room Policy and Procedures, which emphasize the importance of treating residents with dignity and respect, including appropriate positioning and assistance during mealtime. The incident was noted when the Hospice CNA admitted to feeding the resident while standing due to the absence of a chair in the room. The Director of Nursing acknowledged awareness of the situation and stated that staff had been educated on the importance of sitting at the resident's level when feeding. The Registered Nurse also confirmed that the resident is totally dependent for ADLs and feeding, and staff are expected to reposition and sit beside the resident during feeding. This deficiency in care was observed to potentially affect other residents who require assistance with feeding.
Inaccurate PASRR Completion for Two Residents
Penalty
Summary
The facility failed to ensure an accurate Level I Preadmission Screening and Resident Review (PASRR) was completed in a timely manner for two residents. For Resident #31, the PASRR dated February 13, 2015, omitted the diagnosis of Depression and Psychotic disorder with delusions due to a known physiological condition. The resident's records indicated a history of depression and psychotic disorder, with medications prescribed for these conditions. Despite this, the PASRR did not reflect these diagnoses, and the Director of Nursing (DON) stated that the depression and psychotic disorder were secondary to Parkinson's Disease, which was not documented. For Resident #46, the PASRR dated April 3, 2024, omitted the diagnosis of Major depressive disorder and Psychotic disorder. The resident's records showed a history of depression and psychosis, with medications prescribed for depression. The DON and Director for Admissions stated that the PASRR process involved reviewing medications to determine psychiatric diagnoses, but they did not submit a review for this resident because they believed the conditions were secondary to a medical diagnosis. The facility's policy required a comprehensive assessment of each resident's needs, including notifying the state mental health authority after a significant change in a resident's mental condition. However, the PASRRs for both residents did not accurately reflect their mental health diagnoses, leading to a deficiency in the facility's compliance with the PASRR requirements.
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 49 citations issued within 25 miles in the last 12 months — 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 Homestead
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookwood Gardens Rehabilitation And Nursing Cente | 2.4 mi | ★★★★★ | 9 | 0 |
| Kendall Lakes Healthcare And Rehab Center | 6.6 mi | ★★★★★ | 0 | 0 |
| St Annes Nursing Center, St Annes Residence Inc | 9.5 mi | ★★★★★ | 4 | 0 |
| East Ridge Rehabilitation And Nursing Center | 11.8 mi | ★★★★★ | 5 | 0 |
| Jackson Memorial Perdue Medical Center | 12 mi | ★★★★★ | 5 | 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.