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 Solaris Healthcare Charlotte Harbor during CMS and state inspections, most recent first.
A cognitively intact resident, care planned for occasional refusal of care, reported being awakened from sleep by a CNA for incontinence care and requesting a delay, which staff refused. The resident stated that a CNA, another CNA, and an LPN returned, told him he was wet and filthy, and proceeded to roll and hold him while he verbally objected, resulting in a skin tear to his hand. Nursing notes and staff statements confirmed the resident initially refused care, alternated between agreeing and refusing, and that staff decided to proceed with incontinence care while he was saying no, despite a care plan directing staff to honor his preferences and re-approach later when he was resistive.
The facility did not ensure that all staff received comprehensive abuse and neglect training with clear learning objectives, performance standards, and evaluation criteria. Some staff did not have the required training assigned in the electronic platform, and classroom orientation lacked verification of understanding and role-specific content. Interviews revealed inconsistent knowledge among staff regarding abuse reporting procedures.
The facility failed to provide necessary personal hygiene care for three residents who were unable to perform activities of daily living independently. Residents were found with long fingernails and unshaven, and their shower schedules were not adhered to. Staff documentation was lacking, making it impossible to verify if the residents received their scheduled showers.
Failure to Honor Resident’s Right to Refuse Care and Maintain Dignity During Incontinence Care
Penalty
Summary
The deficiency involves the facility’s failure to ensure that care and services were provided with respect and dignity and in accordance with a resident’s right to refuse care. Facility policy on Resident Mistreatment, Neglect and Abuse Prohibition states that the facility is committed to protecting each resident’s physical and emotional well-being and to fostering dignified treatment, respect, and compassion. Resident #999, who was cognitively intact per a recent MDS (BIMS score 15) and care planned for occasional refusal of care and combativeness, reported that while he was sleeping soundly, a CNA woke him to change him. He asked the CNA to wait 30 minutes, but she refused, stating she had to change him immediately. After he continued to refuse, the CNA left and returned with another CNA and a nurse. According to the resident, the nurse and CNAs told him he was wet, filthy, and lying in his own urine and that they needed to change him due to a change of shift. He stated that although he believed they could have waited as he requested, the staff proceeded, with two staff on one side and one on the other, and began holding him down while he yelled, “No. Stop, stop, stop.” He reported feeling helpless and angry that staff proceeded against his wishes and that he sustained a skin tear to his left hand, which the nurse bandaged. The clinical record documented that he required substantial/maximal assistance with toileting and hygiene and that his care plan directed staff to value his input, ensure safety, and re-approach later if he was resistive to care, as well as to honor his preferences and use a calming approach. Nursing documentation and staff statements confirmed that the resident had refused incontinence care during the night in question. An RN note recorded that the CNA reported the resident was refusing care and to be changed, and that when the nurse spoke with him, he became argumentative about concerns over skin breakdown, then stated, “do what you will, I don’t care,” after which care was provided and his brief was found saturated with urine and feces. Staff statements from an LPN and CNAs indicated that the resident initially declined care, was educated about skin concerns, and alternated between saying yes and no while they proceeded to roll and clean him, with the LPN placing his hands on the resident’s hips and back while CNAs worked. Staff acknowledged that at the time care was provided the resident was saying no, that they decided to “just get it done,” and that a skin tear on his hand was discovered and treated afterward. The administrator later stated that staff believed the resident was not physically resisting but was saying no, and that they concluded he ultimately cooperated.
Failure to Provide Comprehensive Abuse and Neglect Training to Staff
Penalty
Summary
The facility failed to provide adequate abuse and neglect training to three out of five staff members reviewed, including two CNAs and one RN. Record reviews showed that these staff members did not receive training that included detailed learning objectives, performance standards, or evaluation criteria. The Staff Development Coordinator was unaware that these staff had not been assigned the required training in the electronic learning platform and stated there was no systematic way to verify which staff were missing the training except by checking each profile individually. Additionally, while the facility provided some introductory information about abuse and neglect during new hire classroom orientation, there was no sign-in sheet or verification of staff understanding, and the content was not role-specific. Interviews with facility leadership revealed that the Risk Manager only read the Abuse Protection and Response Policy during orientation and did not provide comprehensive training or validation of understanding, expecting the full training to be completed online. Other staff interviews indicated variability in the training received, with some staff recalling only brief or general information and others unable to identify specific reporting procedures, such as the abuse hotline. The lack of consistent, documented, and comprehensive training for all staff led to the deficiency cited in the report.
Failure to Maintain Personal Hygiene for Residents
Penalty
Summary
The facility failed to provide the necessary care and services to maintain personal hygiene for three residents who were unable to perform activities of daily living independently. Resident #1, who had diagnoses including dementia and heart failure, was observed with long fingernails and a brown substance under them. The resident's shower schedule was not adhered to, and there was no documentation of refusals for missed showers. Staff interviews confirmed the process for handling refusals, but documentation was lacking. Resident #900, diagnosed with chronic kidney disease and dementia, was also found with long fingernails and unshaven. The resident's shower schedule was not followed, and there was no documentation of the scheduled showers being provided or refused. The resident's cognitive impairment made it difficult for him to communicate his care needs. Resident #999, who had a sacral fracture and was positive for COVID-19 at admission, reported not receiving scheduled showers. The resident's shower schedule was not followed, and there was a discrepancy between staff documentation and the resident's account of received care. The Director of Nursing confirmed the lack of documentation for the scheduled showers, making it impossible to verify if the residents received their showers as scheduled.
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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 Port Charlotte
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harbour Health Center | 0.3 mi | ★★★★★ | 6 | 0 |
| Charlotte Bay Rehab And Care Center | 0.7 mi | ★★★★★ | 1 | 0 |
| Village Place Healthcare And Rehabilitation Center | 2.3 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Punta Gorda | 3.2 mi | ★★★★★ | 0 | 0 |
| Douglas Jacobson State Veterans Nursing Home | 4.3 mi | ★★★★★ | 1 | 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.