Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Santa Rosa Center For Rehabilitation And Healing during CMS and state inspections, most recent first.
A resident with a physician order for Tums was observed with a pill left in a medication cup on the overbed table after the LPN gave morning medications. The resident was cognitively intact, but the record had no assessment or care plan for self-administration, and the DON confirmed the resident had not been assessed or care planned to self-administer medications.
Compression Stocking Order Not Implemented: A resident with edema and a CVA-related care plan intervention for compression stockings was observed in a wheelchair without the stockings on multiple occasions. The EMR showed a physician order for bilateral compression stockings when out of bed, but the order did not populate to the MAR/TAR, and an LPN and the DON confirmed it was not entered correctly or implemented.
CNA competency was not ensured when a CNA applied a resident’s prescription cream after the resident asked for help with itching. The CNA retrieved Clotrimazole-Betamethasone cream from the resident’s nightstand and applied it to the neck, even though the CNA stated she knew she was not supposed to apply prescription creams. The DON stated nurses were expected to apply prescription creams, and the facility policy limited medication administration to licensed nursing personnel or others authorized by state law.
Surveyors found that call lights were not within reach for residents in several rooms, with devices observed hanging on walls, tucked under pillows, or clipped to bedrails, making them inaccessible while residents were in bed. Staff interviews confirmed ongoing concerns about call light accessibility and timeliness, despite regular audits and education efforts.
A facility failed to ensure accurate PASRR documentation for a resident with a history of paranoid schizophrenia and bipolar disorder. The PASRR form incorrectly indicated no serious mental illness, despite the resident's documented conditions and treatment with psychotropic medications. Interviews revealed a lack of proper review and verification of PASRR forms, with the DOAM relying on the hospital for indications of PASRR level II needs, and the RNC confirming that errors should be corrected.
Failure to Assess and Document Self-Administration of Medication
Penalty
Summary
The facility failed to ensure the interdisciplinary team assessed and determined whether a resident was capable of self-administering medications before allowing the resident to self-administer. Resident #2 had a current physician order for Tums 500 mg chewable tablets, one tablet twice daily for gastroesophageal reflux disease. The resident’s quarterly MDS with an assessment reference date of 11/13/25 showed a brief interview of mental status score of 15, indicating the resident was cognitively intact, but the record contained no assessment or care plan for self-administration of medications. During observation on 12/1/25, the resident was in bed with a green, round pill in a medication cup on the overbed table and stated it was Tums that the nurse had brought in earlier. The LPN stated she gave the resident the 9:00 AM medications that day but did not observe the resident ingest the Tums, although she acknowledged she was supposed to observe the resident take the medication. The DON later confirmed the resident was not assessed or care planned to self-administer medications, and the facility policy stated self-administration is permitted only when approved by the interdisciplinary team, including the physician, and documented.
Compression Stocking Order Not Implemented
Penalty
Summary
The facility failed to implement the plan of care for Resident #103, who had a current diagnosis of edema and a physician order dated 11/13/25 for compression stockings to both lower extremities when out of bed as tolerated. During observations on 12/2/25 at 12:05 PM and 12/3/25 at 11:35 AM, the resident was sitting in a wheelchair without compression stockings on his lower extremities. Review of the electronic medical record showed no indication in the medication or treatment records that compression stockings were being used. The resident’s current plan of care for risk of complications related to Cerebrovascular Accident included an intervention dated 11/14/25 for compression stockings to bilateral lower extremities when out of bed as tolerated. Employee B, an LPN, stated the resident did not wear compression stockings and did not believe there was a physician order for them. After reviewing the record, Employee B confirmed the order had not been entered correctly into the electronic system and therefore did not populate the treatment record for implementation. The DON also confirmed the physician order was not populated to the medication or treatment record.
CNA Applied Prescription Cream Without Proper Competency
Penalty
Summary
The facility failed to ensure Certified Nursing Assistants demonstrated competency during care to ensure resident safety for one of four sampled residents reviewed for accidents. Resident #50 was observed on 12/2/25 at 10:12 AM and stated her neck was itching after initiating her call light. Employee C, a CNA, responded to the call light, obtained a tube of Clotrimazole-Betamethasone Dipropionate cream from the resident’s bedside nightstand drawer, and applied it to the resident’s neck at the resident’s request. The cream was identified as a prescription topical medication used to treat fungal skin infections. A review of the resident’s current physician orders showed an order dated 11/25/25 for Clotrimazole-Betamethasone External Cream 1-0.05% to be applied to the rash topically every day and evening shift to the neck, back, arms, and upper chest. During interview, Employee C stated the nurses in the facility allow her to apply prescription creams to residents and that she knew she was not supposed to do so. The DON stated she expects nurses to apply prescription creams to residents and keep them in the treatment cart. The facility policy for Administration of Drugs stated drugs and biologicals may be administered only by licensed physicians, licensed registered or practical nursing personnel, or by other personnel duly authorized under state law.
Call Lights Not Accessible to Residents in Multiple Rooms
Penalty
Summary
Surveyors observed that in 6 out of 20 resident rooms, call lights were not within reach of residents while they were in bed. Specific observations included call lights hanging on the wall above beds, between beds, tucked under pillows, clipped to call light boxes, or attached to bedrails, all out of reach for the residents. These observations were consistent during both morning and afternoon rounds, indicating a persistent issue. The facility's policy requires that call lights be within easy reach of residents when they are in bed or confined to a chair. Interviews with staff, including a Social Services Assistant, Social Services Director, Administrator, and DON, confirmed that there have been ongoing concerns about call lights not being answered in a timely manner and not being placed within reach. The staff reported that audits are conducted to monitor call light accessibility and response times, and education in-services are provided to staff regarding proper call light placement. However, despite these measures, the deficiency was observed during the survey, with call lights still out of reach for multiple residents.
Inaccurate PASRR Documentation for Resident with Mental Disorders
Penalty
Summary
The facility failed to ensure the accuracy of the Preadmission Screening and Resident Review (PASRR) forms for a resident with a history of mental disorders. The PASRR form, dated January 13, 2023, incorrectly indicated that the resident had no diagnosis or suspicion of serious mental illness, despite the resident having a documented history of paranoid schizophrenia and bipolar disorder. The form was signed by a hospital staff member and did not include additional information regarding functional criteria or services. The resident's records showed an admitting diagnosis of paranoid schizophrenia, with bipolar disorder added shortly after admission, and ongoing treatment with psychotropic medications. Interviews with facility staff revealed a lack of proper review and verification of PASRR forms received from the hospital. The Director of Admissions and Marketing (DOAM) relied on the admitting hospital to indicate if a PASRR level II was needed and had not requested a resident review since starting in the position. The Regional Nurse Consultant (RNC) confirmed that PASRR forms should be corrected if errors are identified and that new admissions are reviewed in clinical meetings. However, the necessary PASRR level II review for the resident was not requested, indicating a breakdown in the facility's process for ensuring accurate PASRR documentation.
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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 Milton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sandy Ridge Center For Rehabilitation And Healing | 1.5 mi | ★★★★★ | 2 | 0 |
| Pruitthealth - Santa Rosa | 1.7 mi | ★★★★★ | 6 | 0 |
| Aviata At University Hills | 12.1 mi | ★★★★★ | 2 | 0 |
| Willowbrooke Court At Azalea Trace | 12.2 mi | ★★★★★ | 0 | 0 |
| Arcadia Health And Rehabilitation Center | 12.2 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.