Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Life Care Center Of Citrus County during CMS and state inspections, most recent first.
Failure to Maintain Resident Dignity During Assisted Dining: A resident who was dependent for eating was fed by a CNA who sat beside him rather than facing him, fed him over her shoulder, and repeatedly used her cellphone between spoonfuls. No verbal interaction or engagement was noted during the meal, and the CNA later acknowledged she should have been focused on the resident. The UM/LPN and DON stated staff should interact with residents during meals and that cell phones are not allowed in resident care areas.
Inaccurate MDS Assessment for Insulin Injections: A resident’s MDS recorded more injection days than were documented on the MAR for insulin therapy. Physician orders showed basal insulin at bedtime and sliding-scale insulin before meals and at bedtime for diabetes, but the MAR reflected only three days of insulin injections during the look-back period. The RN MDS Coordinator stated the injection count was incorrect and needed to be modified.
A resident with PRN Clonidine orders for elevated SBP had multiple BP readings above the ordered threshold, but the MAR did not document the medication as administered on those occasions. LPNs stated they did not recall the specific events and indicated that if the dose was not documented, it likely was not given. The APRN said staff were expected to follow MD parameters, and the DON stated nurses need to follow physician orders.
Failure to Follow BP Medication Hold Parameters: The facility administered antihypertensive medications outside ordered SBP, DBP, and HR parameters for multiple residents. MARs showed metoprolol, lisinopril, losartan, and carvedilol were given when vital signs were below hold limits, and LPNs acknowledged they did not follow the physician orders. The DON stated that physician orders and medication parameters should be followed.
An LPN repeatedly failed to perform hand hygiene during medication administration, accuchecks, and insulin injections, including before and after glove use and between resident contacts. A CNA providing catheter care for a resident with an indwelling catheter and EBP order left the room while wearing PPE, returned without changing it, picked up an item from the floor with gloved hands, and finished care without hand hygiene. Other CNAs were also observed providing care for residents on EBP without gowns, and one CNA stated she was not aware of the order.
The facility failed to transmit accurate MDS for two residents. One resident's discharge was incorrectly coded as 'return not anticipated' despite a physician's order indicating otherwise. Another resident's discharge was inaccurately marked as unplanned, although it was a planned discharge per the resident's request. The MDS Coordinator acknowledged these errors.
A facility failed to ensure a prescriber documented a rationale for declining a pharmacist's recommendation to discontinue Loratadine for a resident. The APRN declined the recommendation without providing an explanation, contrary to the facility's policy requiring documentation of such decisions.
A CNA failed to follow infection control protocols by not sanitizing hands or wearing gloves before handling a resident's hearing aids. Another CNA pointed out the lapse, and the DON confirmed the need for proper hand hygiene and glove use as per facility policies.
Failure to Maintain Resident Dignity During Assisted Dining
Penalty
Summary
The facility failed to maintain dignity for a resident who was dependent for eating and required assistance with dining. During an observation, a CNA was seated beside the resident in a side-to-side position and was not facing the resident while feeding him. The CNA fed the resident over her shoulder rather than directly facing him, and between spoonfuls she picked up her cellphone, rested it on her lap, and scrolled on the device. This occurred between each spoon feeding, and no verbal interaction or engagement was noted between the CNA and the resident during the dining process. After the meal was completed, the CNA stood up and exited the room with the meal tray. In an interview, the CNA stated she should not have had her phone out and should have fed the resident while paying attention and focusing on him. The Unit Manager/LPN stated staff should converse with residents and be completely focused on the resident, and that cell phones are not allowed in patient care areas. The DON stated staff should sit at eye level, provide sips of liquids in between the meal, face the resident, and give one-to-one patient interaction, and that there should be no phones in resident areas.
Inaccurate MDS Assessment for Insulin Injections
Penalty
Summary
The facility failed to ensure an accurate assessment for Resident #65 related to medication management. The resident’s MDS, titled Modification of Quarterly/Medicare-5 Day and dated 1/22/2026, documented N0300 injections as 6 days and N0350 insulin injections as 5 days during the look-back period. However, review of Resident #65’s physician orders showed insulin glargine 40 units subcutaneously at bedtime for diabetes and Novolog sliding scale insulin before meals and at bedtime for diabetes, both dated 1/20/2026. Review of the January 2026 MAR documented only three days when the resident received an insulin injection. During an interview on 2/11/2026 at 10:20 AM, the RN MDS Coordinator stated that after reviewing the resident’s medication record for the look-back period, the injections number was incorrect and needed to be modified. The facility policy stated that the facility would follow the procedures set forth in the RAI User’s Manual 3.0 when completing the MDS, CAA, and comprehensive care plan.
Failure to Administer PRN BP Medication per Physician Orders
Penalty
Summary
The facility failed to ensure physician-prescribed orders were followed for Resident #35’s blood pressure medication. The resident had an order dated 2/3/2026 for Clonidine HCI 0.1 mg by mouth every 8 hours as needed for systolic blood pressure greater than 150 mmHg, with notification of the MD if ineffective. The resident also had an earlier order dated 11/7/2025 for Clonidine HCI 0.1 mg by mouth every 8 hours as needed for hypertension when systolic blood pressure was 150 or above. Review of the resident’s blood pressure records showed multiple elevated systolic readings, including 159, 158, 163, 155, 160, and 161, but the MAR did not document Clonidine 0.1 mg as administered on those occasions. During interviews, LPN staff stated they did not remember the specific situations and indicated that if the medication was not documented on the MAR as given, it probably was not administered. An APRN stated staff were expected to follow the parameters in the MD orders and reported no calls from staff saying the medication was not given per the parameters. The DON stated nurses need to follow the parameters and physician orders.
Failure to Follow Blood Pressure Medication Parameters
Penalty
Summary
The facility failed to ensure physician-ordered blood pressure and heart rate parameters were followed for multiple residents receiving antihypertensive medications, resulting in administration of medications outside ordered limits for 4 of 9 residents reviewed for unnecessary medications. Resident #19 had diagnoses including hypertension, diabetes with neuropathy, hyperlipidemia, GERD, hypothyroidism, and a history of falls. The physician ordered metoprolol tartrate 25 mg twice daily with instructions to hold for SBP less than 100 and HR less than 60, and to notify the MD if HR was less than 50. The MAR showed metoprolol was administered on multiple occasions when the resident’s HR was below 60, including readings of 57, 59, 51, 56, 52, 55, 58, and 59. LPNs stated the medication should not have been given and that the physician’s orders should have been followed. Resident #92 had diagnoses including hypertension, dementia, dizziness, failure to thrive, lumbar compression fractures, thyroid disorder, anxiety, insomnia, and protein-calorie malnutrition. The resident had an order for lisinopril 40 mg daily with hold parameters that initially required holding for SBP less than 120, and later changed to hold for SBP less than 110 or DBP less than 90. The MAR documented lisinopril administration when blood pressures were below the ordered parameters, including readings such as 114/46, 116/50, 114/60, 97/51, 118/45, 110/58, and 112/56. An LPN stated the diastolic parameters were not seen and the medication was administered anyway, and the DON stated physician orders and parameters should be followed. Resident #35 had diagnoses including hypertension and was ordered losartan 100 mg daily to be held if SBP was less than 100 or DBP less than 90, and carvedilol 3.125 mg twice daily with hold parameters for SBP less than 100, DBP less than 60, or HR less than 60. The MAR showed losartan and carvedilol were administered when the resident’s blood pressure or pulse was outside those parameters, including carvedilol given with HR 59, DBP 58, pulse 56, pulse 58, pulse 59, and pulse 55. Resident #17 had diagnoses including cognitive communication deficit, dysarthria and anarthria, protein-calorie malnutrition, chronic hepatitis C, depression, insomnia, and lymphedema. The resident’s order for metoprolol tartrate 50 mg twice daily required holding for SBP 110 or below or HR below 60 and contacting the MD for HR below 50, yet the MAR documented administration with HR values of 52, 58, 58, and BP 108/49 with HR 56. LPNs acknowledged the medication was given out of parameter and stated they should have held it and notified the MD.
Failure to Follow Hand Hygiene and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to prevent the possible spread of infection and communicable diseases by not ensuring staff used appropriate PPE for residents on enhanced barrier precautions and by not performing hand hygiene. During medication administration, an LPN did not perform hand hygiene before or after glove use, before entering resident rooms, after leaving resident rooms, or before handling medications and insulin. The LPN completed accuchecks for one resident, removed gloves without hand hygiene, returned to the medication cart, prepared insulin, and administered insulin without gloves; the same pattern of missed hand hygiene occurred while preparing and administering medications and performing another accucheck and insulin injection for other residents. Resident #82 had diagnoses including atherosclerotic heart disease, hypertension, hematuria, and obstructive and reflux uropathy, and had an indwelling catheter to straight drainage with an order for Enhanced Barrier Precautions related to the indwelling medical device. During catheter care, a CNA donned a gown and gloves, left the room while still wearing the PPE to obtain a plastic pad, returned without changing PPE, picked up the pad from the floor with gloved hands, and placed it under the resident. The CNA then completed catheter care, removed the gown and gloves, and exited without performing hand hygiene. Additional observations showed staff not following Enhanced Barrier Precautions for other residents. One CNA changed linens for a resident with an Enhanced Barrier Precautions order for a history of MDRO, wheeled the resident to the shower room wearing gloves but no gown, and was later observed assisting with a shower without a gown. Two CNAs entered another resident's room, which had an Enhanced Barrier Precautions sign and PPE outside the door, and provided care while wearing gloves but no gowns. One CNA stated she was not aware of the resident's Enhanced Barrier Precautions order, and another stated she moved too fast and did not gown when helping the resident.
Inaccurate MDS Transmission for Discharged Residents
Penalty
Summary
The facility failed to transmit accurate and complete Minimum Data Sets (MDS) for two discharged residents. For Resident #117, the MDS Discharge-Return Not Anticipated assessment was incorrectly coded, as the resident was sent to the emergency room with a physician's order indicating a return was anticipated. The MDS Coordinator acknowledged the error during an interview. Similarly, for Resident #118, the MDS was inaccurately coded as an unplanned discharge to an inpatient rehab facility, despite a physician's order for a planned discharge to a hospital per the resident's request. The Director of Nursing confirmed the resident's discharge was planned, and the MDS Coordinator admitted the coding error, stating that the facility follows the Resident Assessment Instrument (RAI).
Failure to Document Rationale for Declining Pharmacist's Recommendation
Penalty
Summary
The facility failed to ensure that the physician or prescriber documented a rationale for declining a pharmacist's recommendation in a timely manner for a resident reviewed for unnecessary medications. The pharmacist had recommended discontinuing Loratadine, a non-sedating antihistamine, which the resident had been receiving daily for nasal drip since December 2020. Despite the recommendation made during the medication regimen review (MRR) on November 13, 2023, the Advanced Practitioner Registered Nurse (APRN) declined the recommendation without providing a rationale for this decision in the resident's medical record. During an interview, the Director of Nursing confirmed that the APRN had not documented a rationale for declining the pharmacist's recommendation. The facility's policy and procedure for Medication Regimen Review, last reviewed in January 2024, requires that the physician or prescriber either accept the pharmacist's recommendations or provide an explanation for rejecting them. The failure to document the rationale for declining the recommendation was identified as a deficiency in the facility's adherence to its own policies and procedures.
Inadequate Infection Control Practices by CNA
Penalty
Summary
The facility failed to prevent the possible spread of infection due to inadequate infection control practices by staff while assisting a resident. On a specific date, a Certified Nursing Assistant (CNA), identified as Staff B, was observed picking up a resident's hearing aids from the bedside table without washing or sanitizing her hands and without wearing gloves. She attempted to insert the hearing aids into the resident's ears without following proper infection control protocols. Another CNA, Staff C, entered the room and pointed out the lapse in infection control to Staff B, emphasizing the need to sanitize hands and wear gloves before handling the hearing aids. During an interview, Staff B confirmed her failure to perform hand hygiene and don gloves before handling the hearing aids. The Director of Nursing also acknowledged that Staff B should have sanitized her hands, worn gloves, and followed proper procedures as outlined in the facility's policies on hearing aid care and hand hygiene.
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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 Lecanto
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diamond Ridge Health And Rehabilitation Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Aviata At Brentwood | 2.5 mi | ★★★★★ | 6 | 0 |
| Grove Healthcare And Rehabilitation Center And Reh | 3.7 mi | ★★★★★ | 0 | 0 |
| Crystal River Health And Rehabilitation Center | 5.2 mi | ★★★★★ | 26 | 0 |
| Cypress Cove Care Center | 6.1 mi | ★★★★★ | 2 | 0 |
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