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 Shore Acres Care Center And Rehab during CMS and state inspections, most recent first.
The facility failed to accurately complete PASRR Level I assessments for several residents, resulting in omissions of significant mental health diagnoses. A resident's PASRR did not reflect their major depressive disorder and anxiety, while another's was left blank despite multiple diagnoses. Additionally, a resident's PASRR was not updated with new diagnoses, and another's inaccurately indicated no serious mental illness. These deficiencies highlight a failure to adhere to the facility's policy requiring accurate PASRR screenings for all admissions.
The facility failed to provide necessary medications for two residents with immune deficiency syndrome, as there were no orders or referrals for specialist care. Additionally, neurological checks were not completed for two residents after incidents involving potential head injuries, and a skin condition for another resident was not assessed or documented. These deficiencies highlight lapses in medication management and resident assessment protocols.
The facility failed to maintain complete medical records for two residents who left AMA. One resident's healthcare proxy and medical history were not documented despite being provided by the family, while another resident's aggressive behavior and subsequent AMA discharge were not properly recorded. The facility's policy requires physician notification and documentation for AMA discharges, but there was no policy for incomplete records.
The facility failed to implement effective infection control measures, including timely isolation orders for a resident with MRSA and C-diff, proper use of PPE on two units, and adherence to hand hygiene protocols during meal service. Staff entered rooms with contact precaution signs without PPE, and a CNA delivered meal trays without performing hand hygiene between deliveries, highlighting significant lapses in infection prevention practices.
A resident experienced a significant change in condition, including shortness of breath and low oxygen saturation, but the facility failed to notify the physician and the resident's representative promptly. The Director of Nursing acknowledged the oversight, and the attending physician emphasized the importance of following the facility's protocol for acute condition changes.
A facility failed to complete a PASRR Level II for a resident with new mental health diagnoses. The resident, initially admitted with various conditions, was later diagnosed with schizoaffective disorder and paranoid schizophrenia. However, no PASRR Level II assessment was documented. The Social Services Director consultant admitted the oversight, noting that a new screening should have been submitted.
A resident was unnecessarily prescribed Levofloxacin for a UTI despite lab results showing resistance to the antibiotic. The facility failed to notify the physician of the resistance and lack of bacterial growth, leading to continued inappropriate antibiotic use. The ADON acknowledged that these issues should have been identified during clinical meetings, as per the facility's antibiotic stewardship policy.
A resident with a broken tooth and ongoing pain did not receive timely dental care despite repeated complaints. The facility failed to document or address her dental needs in her care plan, and there was no follow-up on her request for dental services. Interviews revealed a lack of communication and coordination among staff, leading to a delay in scheduling a dental appointment.
Inaccurate PASRR Assessments for Residents
Penalty
Summary
The facility failed to ensure accurate completion of Preadmission Screening and Resident Review (PASRR) Level I assessments for five residents. Resident #94's PASRR Level I assessment did not reflect their diagnoses of major depressive disorder and generalized anxiety disorder, despite active physician orders for medication related to these conditions. Similarly, Resident #47's PASRR was left blank, failing to document their diagnoses of major depressive disorder, mood disorder, unspecified psychosis, and seizure disorder. Resident #79's PASRR was not updated to include new diagnoses of paranoid schizophrenia and dementia, which were added after the initial screening. Resident #90's PASRR inaccurately indicated no serious mental illness or intellectual disability, despite diagnoses of brief psychotic disorder, persistent mood disorder, and anxiety disorder. Additionally, Resident #87's PASRR did not document their schizoaffective disorder or bipolar disorder, despite a severe cognitive impairment indicated by a BIMS score of 5. The facility's policy requires PASRR screenings for all new and readmissions, but these deficiencies indicate a failure to adhere to this policy, resulting in incomplete or inaccurate assessments for residents with mental disorders or intellectual disabilities.
Medication and Assessment Deficiencies in LTC Facility
Penalty
Summary
The facility failed to ensure the availability of medications for two residents diagnosed with immune deficiency syndrome. Resident #101 expressed a desire to resume antiretroviral medications after a hospital stay, but there were no orders for these medications upon his admission to the facility. Despite discharge instructions from the hospital recommending follow-up and resumption of therapy, the facility did not facilitate this process. Similarly, Resident #19, who was aware of his diagnosis, was not on any antiviral medications and had not had recent lab tests to determine his viral load. The facility's staff, including the Social Services Director and the Psychiatric ARNP, were unaware of the residents' medication needs, and there was no documented process for referral to a specialist for these residents. The facility also failed to conduct necessary neurological checks for two residents following incidents that could have resulted in head injuries. Resident #105, who had a history of falls, was not monitored with the required frequency of neurological checks after a fall in which he hit his head. The documentation showed that several checks were missed, and the Director of Nursing acknowledged that these assessments should have been completed. Similarly, Resident #79, who suffered a fall resulting in a head injury, did not have any post-fall neurological checks documented, despite the facility's policy requiring such assessments. Additionally, the facility did not adequately assess a skin condition for Resident #8, who was observed with a bruise on her hand. The Licensed Practical Nurse responsible for the resident was unaware of the bruise and did not conduct a skin assessment until prompted by the Director of Nursing. The facility's policy on skin assessments was not followed, as there was no documentation of the assessment or any findings related to the bruise. This lack of assessment and documentation highlights a failure to adhere to established procedures for monitoring and evaluating changes in residents' skin conditions.
Incomplete Medical Records for Residents Leaving AMA
Penalty
Summary
The facility failed to maintain complete medical records for two residents who left against medical advice (AMA). For Resident #104, the facility did not document the healthcare proxy or medical history in the resident's medical record, despite receiving these documents via email from the family. The family member of Resident #104 expressed concerns about the resident's mental health, noting a history of mental illness and dementia, and requested an assessment for elopement risk. However, the facility did not have the healthcare proxy or medical history in the resident's records, and the Social Services Director confirmed that these documents were not uploaded to the electronic medical record. For Resident #106, the facility's documentation was incomplete following an incident where the resident exhibited aggressive behavior towards a roommate. The progress notes did not include any entries after the incident, and there was no documentation regarding the resident's decision to leave AMA two days later. The Assistant Director of Nursing confirmed the lack of documentation and stated that there should have been notes about the resident's departure, including attempts to understand the resident's reasons for leaving and any communication with the physician or family. The facility's policy on discharging a resident without a physician's approval requires notifying the attending physician and obtaining a signed discharge order within 72 hours. However, the facility was unable to provide a policy related to incomplete medical records, highlighting a gap in their documentation practices.
Infection Control Deficiencies in PPE Use and Hand Hygiene
Penalty
Summary
The facility failed to ensure an effective infection control program, as evidenced by several deficiencies observed during a survey. One significant issue was the failure to implement timely isolation orders for a resident who was readmitted with Methicillin Resistant Staphylococcus aureus (MRSA) and Extended Spectrum Beta Lactamase (ESBL), and later tested positive for Clostridium difficile (C-diff). The contact isolation precautions for this resident were not entered into the system until a week after readmission, despite the resident's medical records indicating the need for such precautions. This delay in implementing isolation orders potentially exposed other residents and staff to infectious agents. Additionally, the facility did not properly utilize personal protective equipment (PPE) on two out of four units. Observations revealed that staff, including a housekeeper and a Certified Nursing Assistant (CNA), entered rooms with contact precaution signs without wearing the necessary PPE. In one instance, a CNA entered a room to change a resident without donning PPE, despite the presence of an enhanced barrier precaution sign. This lack of adherence to PPE protocols indicates a gap in staff training and awareness regarding infection control measures. The facility also failed to maintain proper hand hygiene during meal service on one unit. A CNA was observed delivering multiple meal trays to residents without performing hand hygiene between each delivery. This practice contravenes the facility's hand hygiene policy, which emphasizes the importance of handwashing to prevent the spread of infections. The Assistant Director of Nursing (ADON) and Infection Preventionist (IP) confirmed these lapses in protocol and acknowledged the need for immediate corrective actions to address these deficiencies.
Failure to Notify Physician and Family of Change in Condition
Penalty
Summary
The facility failed to promptly notify the physician and the resident's representative of a change in condition for a resident. The resident, who had a Power of Attorney and an emergency contact designated, experienced shortness of breath and was found by a CNA at the nurse's station. The resident was assisted back to his room by two staff nurses as his condition worsened, with vital signs showing an oxygen saturation of 64% and audible gurgling sounds in the lungs. Despite these significant changes, the progress notes did not indicate that the resident's family or physician were notified at the time of the change in condition. The Director of Nursing and Assistant Director of Nursing confirmed during an interview that the family and physician should have been contacted at the point of the resident's change in condition. The attending physician also stated that he could not recall being notified and emphasized the importance of contacting the physician and family in such situations. The facility's policy on acute condition changes requires nursing staff to contact the physician based on the urgency of the situation, but this protocol was not followed in this instance.
Failure to Complete PASRR Level II for New Mental Health Diagnosis
Penalty
Summary
The facility failed to complete the Preadmission Screening and Resident Review (PASRR) Level II for a resident who had a new qualifying mental health diagnosis. The resident, who was originally admitted with diagnoses including major depressive disorder, anxiety disorder, traumatic brain injury, and epilepsy, received a new diagnosis of schizoaffective disorder and paranoid schizophrenia. Despite these new diagnoses, there was no documentation indicating that a PASRR Level II assessment was completed. During an interview, the Social Services Director consultant acknowledged that the PASRR was not correct and stated that a new PASRR screening should have been submitted when the new diagnoses were identified.
Failure in Antibiotic Stewardship for a Resident
Penalty
Summary
The facility failed to ensure the appropriate use of antibiotics for a resident diagnosed with a urinary tract infection (UTI). The resident was prescribed Levofloxacin despite lab results indicating resistance to this antibiotic. The resident's Medication Administration Records showed she was on antibiotics in January, February, and March of 2024. Lab results from January indicated resistance to Levofloxacin, yet the resident was still prescribed this antibiotic in January, February, and March. In February, a urinalysis showed no bacterial growth, but the antibiotic was not discontinued, and no culture and sensitivity test was conducted in March to determine the appropriate antibiotic. Interviews with the resident's primary care physician and the Assistant Director of Nursing (ADON)/Infection Preventionist revealed that the physician was not notified of the resistance or the lack of bacterial growth, which would have prompted a change or discontinuation of the antibiotic. The ADON acknowledged that these issues should have been identified during clinical meetings and that the facility's antibiotic stewardship policy requires communication of lab results to the prescriber to determine the appropriate course of action. The failure to adhere to this policy led to the unnecessary administration of antibiotics to the resident.
Failure to Provide Timely Dental Care
Penalty
Summary
The facility failed to provide timely dental care for Resident #94, who was experiencing tooth pain from a broken tooth. Despite the resident's repeated complaints of tooth pain and her use of over-the-counter medication to manage the discomfort, the facility did not document or address her dental needs in her care plan. The resident, who was cognitively intact, had communicated her need for dental services to the facility staff, but there was no follow-up or documentation of her request in the progress notes or care plan. The resident's medical records, including the Minimum Data Set (MDS) and Social Service Admission Evaluation, lacked any mention of dental issues or services. The Social Service Director confirmed that the facility had a contracted dental service, but Resident #94 was not on the list for dental appointments, and there was no evidence of her being seen by the dentist or hygienist. The Social Service Assistant later scheduled a dental appointment for the resident after being informed of her pain, but this was not communicated to the resident promptly. Interviews with facility staff revealed a lack of communication and coordination regarding the resident's dental care needs. The Social Service Assistant and Staff B, UM/LPN, acknowledged the resident's complaints but did not ensure she received the necessary dental services. The facility's policy on dental services stated that social services were responsible for making dental appointments, but this was not effectively implemented for Resident #94.
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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 Saint Petersburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vivo Healthcare St Petersburg | 2.8 mi | ★★★★★ | 0 | 0 |
| Concordia Manor | 2.9 mi | ★★★★★ | 4 | 3 |
| Abbey Rehabilitation And Nursing Center | 3.2 mi | ★★★★★ | 16 | 0 |
| Bayside Care Center | 3.6 mi | ★★★★★ | 7 | 0 |
| North Healthcare And Rehabilitation Center | 3.7 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.