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 Life Care Center Of Ocala during CMS and state inspections, most recent first.
Failure to provide wound care and dressing orders for two residents with skin tears. One resident had a soiled, undated dressing on the lower leg with no treatment order documented, and the resident said it had not been changed since the prior week. Another resident had undated dressings on the left arm, reported skin tears from a couple of days earlier, and no dressing orders were found in the chart; staff and the DON confirmed the missing documentation.
Improper Storage of Respiratory Equipment: The facility failed to properly store respiratory equipment for three residents. A resident with COPD and CPAP use had a CPAP mask left in a dated plastic bag on the bedside table, another resident with rib fractures and oxygen dependence had inhalation therapy equipment in a bag labeled with an old date in an open drawer, and a resident with acute respiratory failure and sleep apnea had CPAP tubing hanging from the bedside rail with the end touching the floor. An LPN stated respiratory masks should be kept in dated bags replaced weekly, and the facility policy required respiratory supplies to be stored in a labeled bag when not in use.
Medication was given outside ordered parameters for two residents. One resident received Percocet for breakthrough pain even though the documented pain score was below the ordered range, and another resident received Tylenol despite pain scores above the PRN threshold. Staff said they missed or did not see the order parameters, and the DON stated meds were expected to be given in accordance with physician orders.
Unsecured medications were found left in resident rooms, including Biofreeze, Cumarindine ointment, Calmoseptine ointment, and Refresh Tears eye drops placed on bedside tables or dressers. Residents and staff stated some items were brought from home or by family, and staff confirmed the medications were unattended and not locked away; the DON stated the residents did not have orders to self-administer medications.
A resident’s MAR was incomplete because staff administered Xtampza ER despite blood pressure hold parameters but did not document the resident’s BP values at the time of administration. The DON said staff were expected to follow physician orders and record required parameters, while two staff members stated they likely checked the BP but forgot to document it.
Staff failed to use required PPE for residents on EBP and contact precautions. A CNA and an LPN entered rooms with EBP signs posted and provided direct care, including dressing-related care, bed making, and wrapping a leg, while wearing gloves only and no gown. In another room, a CNA made a resident's bed despite a contact precaution order for Klebsiella in urine, without wearing a gown or gloves. The DON and IP stated gown and glove use was required for these resident care activities.
The facility failed to ensure accurate assessments for five residents, leading to discrepancies between documented assessments and actual conditions. A resident's assessment inaccurately documented tracheostomy care and ventilator use, while another's failed to note functional limitations from fractures. Additionally, discharge assessments for two residents were incorrect, with one documented as discharged home instead of to a hospital, and another to a hospital instead of another facility.
A resident with a skin tear on the left arm did not receive wound care according to professional standards due to a lack of documented orders. Despite observations of the dressing and confirmation from the resident, the facility's system had no orders for the necessary wound care. Interviews with staff revealed that the facility's policy requiring documented orders for wound care was not followed.
The facility failed to securely store medications, leaving unit doses of Sodium Chloride and a Wixela inhaler unsecured in resident rooms. An LPN also left syringes in a resident's room after administering medication. The DON confirmed that medications should not be left unsecured, as per facility policy.
A facility failed to follow infection control standards for a resident with a central catheter and did not sanitize reusable medical equipment. An RN did not scrub the needleless connector of a PICC line before flushing it, contrary to policy. Additionally, another RN used a blood pressure cuff on a resident without sanitizing it before or after use. The Director of Nursing confirmed these actions were against facility policies.
Failure to Provide Ordered Wound Care and Dressing Orders
Penalty
Summary
The facility failed to provide wound care and failed to place dressing change orders for 2 residents with skin conditions. Resident #86 was observed with a small border dressing on the lower right leg that was visibly soiled and not dated. The resident stated the area was a skin tear that occurred while getting dressed and said the dressing had last been changed during a shower. Review of physician orders did not show a treatment order for the skin tear. On a later observation, the same dressing remained in place, still undated and soiled, and the resident stated it had not been changed since the prior week. Staff stated that when a resident has a skin tear, the nurse should assess the area, contact the doctor, obtain treatment orders, and date dressings, but no treatment order was found for the resident's skin tear. Resident #128 was also observed with wound dressings on the left arm that were not dated, including a dressing on the middle forearm and gauze wrapped near the wrist. The resident stated he had skin tears to the arm that occurred a couple of days earlier and that staff had not changed the dressing for a couple of days, but he could not recall the exact last change. Review of physician orders did not document treatment orders for the skin tears to the left arm. Staff confirmed there were no dressing orders for the resident's left arm, and the DON stated there was no documentation of when the skin tear occurred.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to ensure respiratory care equipment was properly stored for 3 residents reviewed for respiratory care and services. Resident #65 had diagnoses including COPD, diabetes mellitus type 2, atrial fibrillation, heart failure, and asthma, and had a physician order for CPAP use every evening shift for decreased CO2. During observation, the resident’s CPAP mask was found in a plastic bag resting on top of the bedside table, and the bag was dated 11/7. Staff A, an LPN, stated the CPAP mask should be placed in a dated bag that is replaced weekly with a new date placed on the bag. Resident #9 had diagnoses including multiple rib fractures, pleural effusion, presence of pacemaker, anemia, and dependence on supplemental oxygen, with an order for Ipratropium-Albuterol inhalation solution every 6 hours for shortness of breath. During observation, the resident’s top drawer was open and contained inhalation therapy equipment in a bag labeled 12/26. Resident #76 had diagnoses including acute respiratory failure, sleep apnea, asthma, and anemia, with an order for CPAP/BIPAP at bedtime for sleep apnea. During observation, the resident’s CPAP tubing was hanging from the left bedside rail with the distal end touching the floor. Staff A stated the tubing should not be hanging from the bedside rail and that respiratory masks should be placed in dated bags replaced weekly. The facility policy stated oxygen and respiratory supplies should be stored in a labeled bag when not in use.
Medication Administered Outside Ordered Parameters
Penalty
Summary
The facility failed to administer medications according to physician-ordered parameters for two residents reviewed for medication management. For one resident, a Percocet order specified use only for breakthrough pain rated 6–10, but the medication was administered on multiple occasions when the resident’s documented pain level was 4. Staff stated they missed or did not see the parameters in the order, and the DON stated nursing staff were expected to administer medications in accordance with physician orders, including ordered parameters. For another resident, an order for Tylenol specified it was to be given as needed for pain less than 5, yet the medication was administered when the resident’s documented pain levels were 6, 7, and 10. Staff stated they could not recall the rationale, but indicated they may have given Tylenol when the scheduled medication was not due and that nursing judgment was used. The DON stated staff should notify the physician and possibly change the parameters or order something else, and the pain management APRN stated that if staff reached out, another medication more appropriate for the resident could be ordered. The facility policy stated medications are to be administered safely and appropriately per physician order to address residents’ diagnoses and signs and symptoms.
Unsecured Medications Left in Resident Rooms
Penalty
Summary
The facility failed to ensure medications were secured when unattended in resident rooms on 2 of 3 units. During observations, a bottle of Biofreeze roll-on was found on top of the bedside table in one resident’s room while the resident stated it was brought from home and applied by the resident for a broken ankle. In another room, Cumarindine ointment for burns and skin conditions was observed on top of a dresser, and staff later opened the nearly empty container. In a third room, Calmoseptine ointment was observed on top of a nightstand while the resident was out of the room, and staff later retrieved it after a visitor stated the medication had been brought in. In a fourth room, Refresh Tears lubricant eye drops were observed on top of a bedside table, and the resident stated the drops were kept at bedside for self-use and were over the counter. Staff interviews confirmed the medications were left unattended in resident rooms. An LPN stated medications should be locked and that if a resident is able to self-administer, the medication is given a key to the drawer; the same LPN also stated the medication should not be left unattended. Another LPN stated residents who can self-administer should keep medications locked in their top drawer with a key. The DON stated nurses should store medication in the medication cart or med room, and that self-administration requires an assessment, care plan, and order; the DON later stated the four residents did not have orders to self-administer medications. The facility policy titled Storage and Expiration Dating of Medications and Biologicals stated medications and biologicals, including treatment items, must be securely stored in a locked cabinet/cart or locked medication room inaccessible by residents and visitors.
Incomplete MAR Documentation for Medication Hold Parameters
Penalty
Summary
The facility failed to maintain complete and accurately documented medical records for Resident #36, who had physician orders for Atenolol 25 mg daily for hypertension with a blood pressure hold parameter of less than 105/55, Lisinopril 10 mg daily for hypertension with a systolic blood pressure hold parameter of less than 105, and Xtampza ER 27 mg every 12 hours for chronic pain with a systolic blood pressure hold parameter of less than 90. Review of the January 2026 MAR showed Xtampza ER was administered on multiple occasions, but the MAR did not document the resident’s blood pressure values at the time of administration. During interviews, the DON stated staff were expected to administer medications according to physician orders and document required parameters when medications had blood pressure hold instructions. Staff B stated she believed she checked the resident’s blood pressure before giving the medication but forgot to document it, and Staff D stated she always checks blood pressure for medications with blood pressure parameters but must have forgotten to document it.
Failure to Use Required PPE for Residents on Precautions
Penalty
Summary
The facility failed to prevent the possible spread of infection when staff did not don the required personal protective equipment for residents on enhanced barrier precautions and contact precautions. During an observation, a CNA entered a resident's room with an enhanced barrier precaution sign posted and PPE available, but wore gloves only while retrieving clothing from the resident's drawer and later while making the resident's bed, without a gown. The resident had a physician order for enhanced barrier precautions for a wound every shift. The CNA stated she did not know the resident was on enhanced barriers and believed a gown was only needed when providing direct care. In another observation, an LPN entered a different resident's room with an enhanced barrier precaution sign posted and PPE available, but wore gloves only while wrapping the resident's leg and placing blankets over the resident, without a gown. The resident had a physician order for enhanced barrier precautions for a wound. In a third observation, a CNA was inside a resident's room with a contact precaution sign for Klebsiella in urine and made the resident's bed without wearing a gown or gloves. The Infection Preventionist and DON stated staff should wear a gown and gloves for direct care and, for contact precautions, before entering the room and before touching anything in the resident's room. Facility policies for Enhanced Barrier Precautions and Contact Precautions both required gown and glove use in the situations observed.
Inaccurate Resident Assessments in LTC Facility
Penalty
Summary
The facility failed to ensure accurate assessments for five residents, leading to discrepancies between the residents' actual conditions and their documented assessments. Resident #50's assessment inaccurately documented the use of tracheostomy care and an invasive mechanical ventilator, which was not observed during the resident's stay at the facility. Staff interviews confirmed that these treatments were never provided at the facility. Resident #111's assessment failed to document functional limitations despite the resident's right shoulder and rib fractures, which were acknowledged in the care plan and by therapy staff. Similarly, Resident #221's assessment did not reflect the right-sided paralysis resulting from a cardiovascular accident, although this condition was documented in the care plan. Further inaccuracies were noted in the discharge assessments of Residents #116 and #118. Resident #116's discharge was incorrectly documented as to home/community, while the resident was actually admitted to a hospital for altered mental status. Resident #118's discharge was inaccurately recorded as to a short-term general hospital, whereas the resident was discharged to another facility. These errors were confirmed by the MDS Coordinator, indicating a need for modifications to the assessments to accurately reflect the residents' statuses and discharge locations.
Failure to Document and Provide Wound Care Orders
Penalty
Summary
The facility failed to provide wound care and treatment in accordance with professional standards of practice for a resident with skin conditions. During an observation, a resident was found with a dressing on her left arm that was not updated according to the facility's policy. The resident confirmed having a skin tear on her arm and expected the nurse to change the dressing. However, a review of the resident's physician orders revealed no documented orders for wound care on the left arm, despite the presence of skin tears noted in the resident's medical records. Interviews with staff, including a Licensed Practical Nurse and the Director of Nursing, confirmed that there were no orders in the system for the left arm skin tear. The facility's policy on skin integrity and wound management requires staff to have orders in the system to provide wound care, which was not adhered to in this case. This oversight led to a deficiency in the care provided to the resident, as the necessary wound care was not documented or ordered as per the facility's procedures.
Unsecured Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in accordance with professional principles, leading to unsecured medications being left in resident rooms. During observations, surveyors found three clear plastic unit doses of Sodium Chloride 0.9% in a bedpan on top of a resident's drawer and a Wixela inhaler on a bedside table. The resident with the inhaler confirmed that the nurse left it there temporarily. Additionally, another resident's room had three unit doses of Sodium Chloride 0.9% on a dresser. Further observations revealed that a Licensed Practical Nurse (LPN) left a white foam tray with a Normal Saline syringe and an unopened Heparin lock Flush syringe in a resident's room after administering intravenous medication. The Director of Nursing acknowledged that medications should not be left unsecured at the bedside. The facility's policy mandates that all drugs and biologicals be stored in locked compartments, with controlled substances in separately locked compartments, accessible only to authorized personnel.
Infection Control Deficiencies in Central Catheter Care and Equipment Sanitization
Penalty
Summary
The facility failed to adhere to appropriate infection control standards for a resident with a central catheter. During an observation, a registered nurse (RN) did not scrub the needleless connector of a peripherally inserted central catheter (PICC) line before flushing it with normal saline and heparin. The RN believed that the connector remained sterile after disconnecting the IV tubing, which contradicted the facility's policy requiring a vigorous mechanical scrub of the connector for at least 5 seconds before and after use. The Director of Nursing confirmed that the nurse should have sanitized the connector after disconnecting the tubing. Additionally, the facility did not properly sanitize reusable medical equipment. An RN used a blood pressure cuff on a resident without sanitizing it before or after use. The RN acknowledged the oversight, stating that normally the equipment is cleaned with wipes after each use. The Director of Nursing confirmed that staff should sanitize equipment after each use, as per the facility's policy, which mandates cleaning non-critical patient care equipment with an EPA-registered hospital disinfectant before and after reuse.
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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 Ocala
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hawthorne Center For Rehabilitation And Healing Of | 0.2 mi | ★★★★★ | 16 | 0 |
| Palm Garden Of Ocala | 0.4 mi | ★★★★★ | 1 | 0 |
| Avante At Ocala, Inc | 2.5 mi | ★★★★★ | 27 | 0 |
| The Lodge Healthcare And Rehabilitation Center | 3 mi | ★★★★★ | 0 | 0 |
| Ocala Health And Rehabilitation Center | 3.1 mi | ★★★★★ | 10 | 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.