Above 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 Pines Of Sarasota during CMS and state inspections, most recent first.
Surveyors observed four full O2 cylinders on one nursing unit stored unsecured directly on the floor under a sign labeled "FULL CYLINDERS" instead of in a secured storage rack. The ADON confirmed the cylinders were full and should not be on the ground. Reference to NFPA 99 showed that freestanding cylinders must be protected from damage and properly chained or supported in a stand or cart. The DON and Maintenance Director both acknowledged that O2 cylinders are required to be stored in a secure rack, should never be on the floor, and that unsecured cylinders on the floor present a safety risk.
Surveyors found four full oxygen cylinders stored unsecured on the floor of one unit under a sign labeled "FULL OXYGEN CYLINDERS," rather than in a secured rack as required. The ADON confirmed the cylinders were full and should not be on the ground. Reference to NFPA 99 indicated that freestanding cylinders must be protected from abnormal mechanical shock and properly chained or supported in a stand or cart. The DON and Maintenance Director both acknowledged that oxygen cylinders are required to be stored in secure racks, not on the floor, and that cylinders stored directly on the ground can fall and cause damage.
The facility failed to ensure medications were secure and inaccessible to unauthorized staff and residents. One resident had a pill on the nightstand and nine pills in a medication cup, while another instance involved artificial tears medication left in the hallway. The ADON confirmed these lapses in medication storage policy.
The facility failed to ensure effective training for staff on reheating resident food, resulting in a resident sustaining a burn from overheated soup. Despite policies and training efforts, several staff members were unaware of the correct reheating procedures, indicating inadequate training and reinforcement.
Unsecured Storage of Full Oxygen Cylinders on Nursing Unit
Penalty
Summary
Surveyors found that the facility failed to ensure safe storage of oxygen cylinders on the West 1 unit. At 9:03 a.m., four full oxygen cylinders were observed stored unsecured directly on the ground rather than in the designated secured cylinder storage rack, under a sign labeled "FULL CYLINDERS." Photographic evidence was obtained of this condition. At 9:18 a.m., the ADON confirmed that the four cylinders were full and acknowledged they should not be stored on the ground. Review of NFPA 99 (2021) 11.6.2.3(11) indicated that cylinders must be protected from damage and that freestanding cylinders must be properly chained or supported in a proper stand or cart. Later that day, the DON stated that oxygen cylinders should be stored in a secure rack and never directly on the ground, and acknowledged that unsecured cylinders on the floor were a safety risk. The Maintenance Director also confirmed that oxygen cylinders should be in a secure rack and never stored directly on the ground, stating that cylinders stored on the floor can tip over and cause damage. These observations and interviews demonstrated noncompliance with regulatory and NFPA standards for safe storage of oxygen cylinders.
Plan Of Correction
This plan of correction constitutes a written allegation of compliance for the deficiency cited. Submission of this plan of correction is not an admission that the deficiency exists or that one was cited correctly. This plan of correction is submitted to meet the requirements established by the State and Federal law. The four unsecured [R] cylinders on the West 1 unit were secured. The Nursing Department completed a baseline audit of [R] cylinder storage within the facility to ensure all [R] cylinders were secured and stored properly. Ongoing education will be completed with current facility staff regarding the facility's [R] storage policy and procedure; and will be completed during new hire and agency orientation to the facility by ADON/designee. Audits will be completed by the Director of Nursing/designee regarding adherence to the facility's [R] storage policy and procedure twice weekly x 4 weeks, then weekly x 4 weeks, then monthly x 4 months, or until continued substantial compliance has been met. Results of audits will be reported to the QAPI Committee on a monthly basis by the Director of Nursing/designee.
Unsecured Storage of Full Oxygen Cylinders on Resident Unit
Penalty
Summary
The facility failed to ensure safe storage of oxygen cylinders on one unit, where four full oxygen cylinders were observed stored unsecured directly on the ground instead of in a secured oxygen cylinder storage rack. During observation of the West 1 unit, surveyors noted the cylinders beneath a sign labeled "FULL OXYGEN CYLINDERS" and obtained photographic evidence of the condition. The Assistant Director of Nursing confirmed that the cylinders were full and acknowledged they should not be stored on the ground. Reference to NFPA 99 (2021) 11.6.2.3(11) indicated that cylinders must be protected from abnormal mechanical shock and freestanding cylinders must be properly chained or supported in a proper stand or cart. In subsequent interviews, the DON stated that oxygen cylinders should be stored in a secure rack and never directly on the ground, and acknowledged that unsecured cylinders on the floor were a safety risk. The Maintenance Director similarly stated that oxygen cylinders should be in a secure rack and never stored directly on the ground, and confirmed that cylinders stored on the floor can fall over and cause damage. No specific resident medical histories or conditions were mentioned in relation to this deficiency.
Medication Security and Storage Deficiencies
Penalty
Summary
The facility failed to ensure that medications were secure and inaccessible to unauthorized staff and residents. In one instance, a resident was observed with a small circular white pill on the nightstand and nine pills in a medication cup on his bedside tray table. The resident stated that he waits to take his diuretic pill after physical therapy, as advised by his doctor. An interview with an agency RN revealed that she could not recall if she observed the resident taking his medications. The Assistant Director of Nursing confirmed that the nurse had signed off on the administration of 10 pills, but one pill was still on the nightstand, indicating that the nurse did not stay with the resident to ensure all pills were taken at the time of administration. In another instance, artificial tears medication was observed sitting on a caddy bin in the hallway outside a resident's room. The Assistant Director of Nursing confirmed that medications should not be left in the hallway, indicating a failure to store medications securely and properly. These observations highlight lapses in the facility's adherence to its medication storage policy, which mandates that medications be stored safely, securely, and properly, and be accessible only to authorized personnel.
Inadequate Staff Training on Reheating Food Leads to Resident Burn
Penalty
Summary
The facility failed to ensure appropriate and effective training for staff on reheating resident food, resulting in a resident sustaining a burn from overheated soup. The facility's policy required staff to set the microwave to 30 seconds initially and then 15 seconds for any additional heating, stirring with a clean utensil to ensure even heating, and checking the temperature to ensure it did not exceed 140 degrees Fahrenheit at the time of service. However, a Certified Nurse Assistant (CNA) did not follow this procedure, leading to the resident spilling hot soup on himself and sustaining burns on his lower right abdomen, which required daily dressing changes and wound care consultation. Interviews with staff revealed a lack of understanding and inconsistent knowledge about the reheating procedure, with some staff unaware of the correct temperature guidelines or the existence of the policy. The Director of Nursing (DON) acknowledged that the incident occurred because the CNA did not check the temperature of the soup before serving it. Despite the Assistant Director of Nursing Risk Manager (ADONRM) providing training and conducting audits, several staff members, including agency CNAs, were unable to explain the correct reheating procedure. This indicates that the training provided was not effective or adequately reinforced, leading to the deficiency. The policy was posted in various locations, but staff interviews revealed that some had not received or retained the necessary training to ensure resident safety when reheating food.
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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 Sarasota
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Indian Beach Nursing And Rehab Center | 0.3 mi | ★★★★★ | 5 | 0 |
| Inn At Sarasota Bay Club | 0.5 mi | ★★★★★ | 0 | 0 |
| Siesta Key Health And Rehabilitation Center | 1.7 mi | ★★★★★ | 1 | 0 |
| Sarasota Point Rehabilitation Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Birchwood Health And Rehabilitation Center | 2.2 mi | ★★★★★ | 8 | 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.