Below 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 Nursing & Rehabilitation Center Of New Port Richey during CMS and state inspections, most recent first.
Bio growth was observed on shower equipment in multiple communal shower rooms, including shower chairs and other shower equipment in the B, C, E, and F wing shower areas. The DOM stated showers are expected to be cleaned daily and after each use, with deep cleaning done monthly, and the facility policy states shower rooms are to be cleaned daily to maintain a clean, sanitary, and orderly environment.
Ineffective pest control program in common areas and resident rooms. Surveyors observed gnats and other insects in the dining area, nurse's station, and multiple resident rooms, including an insect on a wall, flying gnats in rooms, and a cocoon in a bathroom with a bug emerging from it. The KM said the gnat issue had been ongoing for months, had not been reported, and he had been using bleach and supplies on his own, while the DOM and NHA said they were unaware of the gnats and cocoons until the survey.
Failure to report and investigate a resident missing-whereabouts event. A resident with unrestricted LOA status and cognitive/behavioral diagnoses left the facility grounds without signing out, and staff could not account for his whereabouts for about 10 to 30 minutes before he was found on the sidewalk and returned. The NHA and DON/RM said they did not report the event to the State because they did not view it as elopement, even though the facility’s policy required reporting allegations of neglect and the NHA acknowledged that not knowing a resident’s whereabouts would be considered neglect.
A resident with multiple health conditions and impaired mobility was left without access to a working call light for over a week. Despite being given a manual hand bell, staff did not respond when it was used, and the resident was unable to reliably summon assistance. Staff interviews revealed a lack of awareness about the issue, and the maintenance assistant found that the call light required more strength to operate than the resident could provide.
The facility did not adequately inform two residents about the arbitration agreement in a comprehensible manner. The agreements were signed by the Admissions Director but not by the residents or their responsible parties. One resident was told it was necessary to sign, while another did not recall being informed or signing any document.
The facility failed to maintain effective infection control and sanitation practices. A CNA did not follow Enhanced Barrier Precautions during catheter care for a resident with a history of UTIs. A Dietary Aide placed a spoon that fell on the floor back on a meal tray without notifying anyone. The laundry area was unsanitary, with a buildup of debris behind washing machines and improper storage of pillows.
The facility failed to maintain a clean and safe environment, as evidenced by feces left on a resident's floor overnight, recurring substances in shower rooms, and disrepair in utility and laundry areas. A resident had to eat breakfast with feces present, and the facility's laundry room had significant maintenance issues. The Maintenance Director acknowledged the need for repairs in a resident's room.
A resident experienced a lack of dignity and respect due to delayed staff response to toileting needs, resulting in the resident defecating in his brief and waiting for cleanup. Additionally, feces were left on the floor overnight, and the resident had to eat breakfast with the mess present. Staff acknowledged the situation was inappropriate, and the DON and NHA confirmed the need for immediate cleanup.
The facility failed to ensure accurate MDS assessments for two residents. One resident, who had fallen and sustained a fracture, was inaccurately reported as having no falls. Another resident with contractures in both hands and wrists was reported as having no functional limitations in the MDS assessment, despite observations and medical records indicating otherwise. These inaccuracies highlight deficiencies in maintaining accurate resident assessments.
A facility failed to develop a Baseline Care Plan within 48 hours of admission for a resident. The resident's medical record lacked a Baseline Care Plan upon admission. A Baseline Care Plan was later provided, dated after the admission, which did not meet the facility's expectation of completion within 24 hours. The Facility Administrator confirmed that the plan should be completed with the admission assessment, using information from various sources and an evaluation of the resident.
A resident with hand and wrist contractures did not consistently receive prescribed splints to maintain range of motion, as observed over several days. The care plan required a palm guard and flat cloth splint, but these were often not applied due to staffing shortages, as the CNA/RNA responsible was frequently reassigned. Documentation showed limited assistance provided, with no refusals noted.
A resident with a history of dysphagia and malnutrition received tube feeding that was improperly labeled and administered. The facility failed to follow physician orders, with the water flush rate set incorrectly and the feeding formula not labeled. Staff interviews revealed issues with supply stock and procedural adherence.
A resident was found with refresh eye drops at their bedside, which were not stored in a locked compartment as required. The LPN was unaware of the medication, and the resident did not have a physician order or nursing assessment for self-administration. The DON confirmed that no residents had orders for self-administration, and the facility policy mandates locked storage for medications.
The facility failed to maintain proper vaccination records for two residents, resulting in documentation deficiencies. A resident declined the influenza vaccine, but the consent form lacked a staff signature and confirmation of education. Another resident's record showed a COVID-19 vaccine refusal, but no consent form was present. The Infection Preventionist confirmed these issues.
Bio growth observed on shower equipment in multiple communal shower rooms
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment related to bio growth on shower equipment in four communal shower rooms. Observations found brown, pink, and black bio growth on two of two shower equipment in the B wing shower room, pink, black, and brown bio growth on two of three shower equipment in the C wing shower room, pink, brown, and black bio growth on two of two shower chairs in the E wing shower room, and pink and black bio growth on one of two shower chairs in the F wing shower room. During interview, the Director of Maintenance stated that showers are expected to be cleaned daily and after each use, and that deep cleaning is done each month. The facility policy titled General Housekeeping, revised 01/2024, states that the facility is to maintain all areas in a clean, sanitary, and orderly condition and that shower rooms and bathrooms, including showers and commodes, will be cleaned daily in accordance with established procedures.
Ineffective Pest Control Program in Common Areas and Resident Rooms
Penalty
Summary
The facility failed to maintain an effective pest control program in common areas and resident rooms. Survey observations identified a small insect crawling on the wall in room 101, numerous small flying insects, approximately 10 gnats, landing on the countertop, cabinets, sink, and icemaker in the resident dining area outside the kitchen, an insect flying around and landing on the nurse's station desk between B wing and C wing, and a gnat flying in room 130. Additional observations found a cocoon in the bathroom of room 106 that later had a bug moving and coming out of it, and approximately five flying gnats in room 230. During interview, the kitchen manager confirmed the flying insects were gnats and stated pest control comes in and sprays for them as routine maintenance. He stated he had not submitted a report and had seen the gnats since February 2025. He also stated he poured bleach down the drains and bought supplies himself to try to address the ongoing gnat issue, and said the gnats were only located where there is water and in the drains. The Director of Maintenance and the Nursing Home Administrator stated staff were trained to report pest sightings to the Director of Maintenance, but they did not mention gnats or cocoons and said they were not aware of those concerns until the day of the interview. The facility policy stated it was to maintain an effective pest control program and required staff to report pest concerns to the department head and/or Administrator for further action.
Failure to Report and Investigate Resident Missing-Whereabouts Event
Penalty
Summary
The facility failed to report and investigate an incident involving a resident who left the facility grounds without signing out under the Leave of Absence process. Resident #12 was admitted for skilled and therapy services, was his own decision maker, and had a Leave of Absence order with no restrictions. His records also showed diagnoses including persistent mood disorder, generalized anxiety, major depression, unspecified dementia, and unspecified severity with other behavioral disturbance. The resident had signed a Leave of Absence form on admission, and the facility’s documentation stated that residents and/or responsible parties were to sign out upon departure and sign back in upon return. On the evening of the event, the resident was initially seen on the front porch area, which staff described as a place residents with unrestricted Leave of Absence status could use without signing out. Staff later could not account for him, and a code orange was called. The Certified Dietary Manager encountered the resident on the sidewalk while driving home and learned he was on his way to his daughter’s house to get his wallet. The resident was already approximately one-half mile from the facility, and staff arranged for him to return. Facility records and interviews confirmed that for a period of about ten to thirty minutes, staff did not know where the resident was because he had left the property without signing out. Facility leadership, including the NHA and DON/RM, stated they did not believe the event needed to be reported to the State agency because the resident was not considered an elopement risk and had only left the property without signing out. However, the facility’s own policy defined neglect as failure to provide goods and services necessary to avoid harm, pain, mental anguish, or emotional distress, and the NHA confirmed that not knowing a resident’s whereabouts would be considered neglect. The facility also had a policy requiring allegations of abuse, neglect, exploitation, misappropriation, mistreatment, and injuries of unknown origin to be reported immediately in accordance with regulatory timeframes, yet the event was not reported or investigated as required.
Failure to Provide Resident with Functional Call Light Access
Penalty
Summary
A deficiency was identified when a resident was found without access to a functional call light system. The resident, who has diagnoses including type 2 diabetes, chronic kidney disease, reduced mobility, muscle weakness, and a history of repeated falls, reported that her squeeze call light had not worked for over a week. She was provided with a manual hand bell as an alternative, but stated that when she used it, staff did not respond, leaving her to wait until she could visually locate someone for assistance. During observation, the call light did not activate the hallway notification system, and the hand bell was only faintly audible in the hallway, with no staff present nearby. The resident expressed fear and concern about her inability to summon help, particularly as she could not get back into bed independently. Interviews with facility staff, including an OT, LPN, CNA, maintenance assistant, and the ADON/DON, revealed a lack of awareness regarding the non-functional call light. Staff stated that all call lights should be operational and that any issues would be addressed promptly, but the maintenance assistant was not aware of any outstanding work orders. Upon testing, the maintenance assistant determined that the call light device functioned, but the resident may not have had the strength to operate it effectively. The facility did not provide a policy regarding call lights.
Failure to Properly Inform Residents About Arbitration Agreements
Penalty
Summary
The facility failed to properly inform residents or their responsible parties about the arbitration agreement in a manner that could be understood, including in a language they could comprehend. This deficiency was identified for two residents out of three sampled for arbitration agreements. During a review of the arbitration agreements, it was found that the documents were electronically signed by the Admissions Director but not by the residents or their responsible parties. The Admissions Director stated that the arbitration process was verbally explained to the residents upon admission, but no formal agreement or disagreement was recorded. One resident indicated that they were told it was something they needed to sign, while another resident did not recall being informed about the arbitration process or signing any related document.
Infection Control and Sanitation Deficiencies
Penalty
Summary
The facility failed to maintain an effective infection control and prevention program, as evidenced by several deficiencies observed during a survey. One significant issue involved the improper catheter care for a resident with a history of respiratory failure, urinary tract infections, and encephalopathy. The resident was on Enhanced Barrier Precautions, indicated by a sign above the bed. However, during catheter care, a CNA did not wear an isolation gown as required by the facility's policy. The CNA was unaware of the significance of the Enhanced Barrier Precautions sign and did not follow the proper procedure for catheter care, which included using a clean area of the washcloth for each stroke and drying the genital area correctly. Another deficiency was observed during meal delivery. A Dietary Aide was seen picking up a spoon that had fallen on the floor and placing it back on a meal tray without notifying anyone. This incident was not addressed until the Assistant Director of Nursing was informed by the surveyor, who then removed the contaminated silverware. This action violated the facility's policy on maintaining sanitary conditions during meal service. Additionally, the facility's laundry area was found to be unsanitary. During a tour, a pile of pillows was observed leaning on a floor polishing machine due to a lack of storage space. Behind the washing machines, there was a significant buildup of foreign objects, including gloves, a spray bottle, caps, lint, and debris. The Maintenance Director admitted that the area had not been cleaned for approximately a month, indicating a lapse in maintaining cleanliness in the laundry area.
Facility Fails to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as evidenced by multiple observations and interviews conducted by surveyors. On one occasion, a resident was found sitting in his wheelchair next to his bed, pointing to feces on the floor that had been there since the previous night. The resident had to eat breakfast with the feces still present, indicating a failure in timely cleaning and maintenance. Certified Nursing Assistants (CNAs) acknowledged that the mess should have been cleaned immediately, and the Licensed Practical Nurse (LPN) confirmed that CNAs should have initiated the cleanup process. Further observations during a facility tour revealed additional environmental deficiencies. In the shower rooms on the C and E hallways, a pink/brown substance was noted on the walls, which the Environmental and Laundry Lead stated reappeared after several showers despite daily cleaning. In the soiled utility room on the F-hallway, a vanity sink and cabinet were in disrepair, with a large amount of black substance on the floorboards and a leaking pipe. The Maintenance Director was unaware of these issues prior to the tour. The facility's laundry room also exhibited significant deficiencies. Numerous pillows were improperly stored, and there was a large buildup of debris behind washing machines. One dryer had been broken for nearly a year, and the remaining dryers had issues with melted material inside the drums and excessive lint buildup. Additionally, a resident room was found to have lifting baseboards, broken floor tiles, and rust on the toilet riser, which the Maintenance Director acknowledged needed repair. These findings indicate a widespread failure to maintain a clean and safe environment for residents.
Failure to Maintain Resident Dignity and Cleanliness
Penalty
Summary
The facility failed to ensure a resident's right to be treated with respect and dignity, as evidenced by the experiences of a resident who required assistance with toileting due to being continent of bowel and bladder but needing help to transfer to the bathroom. The resident reported experiencing diarrhea due to antibiotics and expressed that staff took an excessive amount of time to respond to his call bell, often resulting in him having to defecate in his brief and wait for staff to clean him up. This situation was described by the resident as humiliating, and he expressed a desire to leave the facility. Further observations revealed that feces had been left on the floor next to the resident's bed from the previous night, and the resident had to eat breakfast with the mess still present. When the call light was pressed, two CNAs responded and acknowledged that the mess should have been cleaned immediately. Interviews with staff, including an LPN and the DON, confirmed that the CNAs should have cleaned the mess immediately and that it was inappropriate for the resident to eat with feces on the floor. The NHA also confirmed that the staff should have addressed the situation promptly.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) Comprehensive Assessments contained accurate information for two residents. Resident #46 was observed with a discolored area on the right side of her head and reported having fallen out of her wheelchair and breaking her neck. However, a review of her 5-Day MDS assessment indicated that she had no falls since admission or prior assessment. The Director of Nursing (DON) confirmed awareness of the fall that occurred on 10/13/24, which resulted in a fracture, yet this incident was not accurately reflected in the MDS assessment. Resident #77 was observed with contractures in both hands and wrists, and a palm guard was noted on her right hand. Her medical record confirmed diagnoses of contractures in both hands and wrists. Despite these observations, her MDS assessment inaccurately reported no functional limitation in the range of motion to the upper extremities. The resident's care plan included interventions for her contractures, such as the use of splints, but these were not accurately documented in the MDS assessment. This discrepancy highlights the facility's failure to maintain accurate and timely assessments for residents, which is crucial for their care planning and management.
Failure to Develop Timely Baseline Care Plan
Penalty
Summary
The facility failed to develop a Baseline Care Plan within 48 hours of admission for one of the 37 sampled residents. The medical record review revealed that the resident was admitted to the facility on a specific date, but there was no Baseline Care Plan documented. On December 5, 2024, a Licensed Practical Nurse and Minimum Data Set Coordinator provided a copy of the Baseline Care Plan, which was dated December 1, 2024, indicating it was completed after the original admission. During an interview, the Facility Administrator stated that Baseline Care Plans should be completed with the admission assessment within 24 hours, incorporating information from hospital records, therapy, staff, and an evaluation of the resident. The Baseline Care Plan dated December 1, 2024, was deemed unacceptable as it did not meet the 24-hour completion expectation.
Inconsistent Application of Splints for Resident with Contractures
Penalty
Summary
The facility failed to provide appropriate equipment to maintain range of motion and mobility for a resident with contractures in both hands and wrists. Observations revealed that the resident was often without the prescribed palm guard and flat cloth splints, which were intended to assist with maintaining range of motion. The resident's care plan, last revised in July, indicated the need for these devices, but they were inconsistently applied. Observations over several days showed the resident either without the necessary equipment or with only partial application, such as a palm guard on the right hand but not the left. Interviews with staff revealed that the Certified Nursing Assistant (CNA) and Restorative Nursing Assistant (RNA) responsible for applying the splints and assisting with range of motion exercises was frequently pulled to work as a CNA due to staffing shortages. This resulted in the resident not receiving the prescribed interventions consistently. Documentation in the Point of Care (POC) system showed that assistance with the palm guard and flat cloth was provided on only a fraction of the days within a specified period, with no refusals documented, indicating a lack of adherence to the care plan due to staffing issues.
Improper Administration and Labeling of Tube Feeding
Penalty
Summary
The facility failed to ensure that physician orders for tube feeding were followed and that tube feeding was administered properly for a resident. During a facility tour, it was observed that the resident's tube feeding bag and bottle were not labeled with the date, time, or formula, and the tube feeding machine was set incorrectly for the water flush. The resident had a medical history of respiratory failure, malnutrition, dysphagia, and encephalopathy, and was receiving continuous tube feeding of Jevity 1.5 at 80 mL/hr with a water flush order of 180 mL every 4 hours. However, the water flush was incorrectly set to 150 mL every 4 hours. Interviews with staff revealed that the facility was out of stock of the correct tubing, leading to the use of tube feeding bag tubing and pouring the formula into the bag without proper labeling. The RN confirmed the incorrect water flush rate and reprogrammed it after surveyor intervention. The facility's Assistant Director of Nursing, Director of Nursing, and Administrator acknowledged the labeling and water flush rate errors.
Unauthorized Access to Medication at Bedside
Penalty
Summary
The facility failed to store all drugs and biologicals in locked compartments and allowed unauthorized access to medication for one resident. During a survey, refresh eye drops were observed at the bedside of a resident during medication administration by an LPN. The resident mentioned using the eye drops frequently and keeping the lid loose for easy access. The LPN was unaware of the medication at the bedside and confirmed that the resident did not have an assessment or care plan for self-administration of medication. The medication was subsequently removed from the resident's room. The Director of Nursing (DON) stated that a physician order and nursing assessment would be required for self-administration, and the medication should be kept in a lock box in the resident's room. The facility did not have any residents with orders for self-administration of medication. A review of the electronic medical record confirmed the absence of a physician order or nursing assessment for the resident's self-administration of medication. The facility's policy on medication storage and labeling requires drugs and biologicals to be stored in locked compartments, accessible only to authorized personnel.
Deficiency in Vaccination Record Maintenance
Penalty
Summary
The facility failed to adequately maintain vaccination records for two residents, leading to deficiencies in documentation and consent processes. Resident #66, who was admitted to the facility, signed a consent form on August 10, 2024, indicating her refusal of the influenza vaccine. However, the form lacked a staff member's signature and title, which should have confirmed that influenza education was provided, and there was no documentation that a Vaccination Information Sheet was given to the resident. Similarly, Resident #75's electronic medical record indicated a refusal of the COVID-19 vaccine on November 22, 2024, but there was no consent form in her record to document this refusal. The facility's Infection Preventionist confirmed these documentation gaps upon review of the residents' medical records.
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What surveyors actually found near you
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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 New Port Richey
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southern Pines Nursing Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Heather Hill Healthcare Center | 0.6 mi | ★★★★★ | 1 | 0 |
| Madison Pointe Care Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Aspire At Ridge Haven | 1.2 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of New Port Richey | 1.5 mi | ★★★★★ | 0 | 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.