Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Solaris Healthcare Zephyrhills during CMS and state inspections, most recent first.
A resident with a midline catheter did not receive dressing changes as ordered, with observations showing a transparent dressing lifting at the edges and gauze underneath that had not been changed for several days. Staff and policy confirmed the dressing was overdue for a change, especially due to the presence of gauze, resulting in a deficiency.
Three residents with respiratory conditions did not receive oxygen at the physician-ordered flow rates, as observations found oxygen being administered at higher or lower rates than prescribed. Staff confirmed the discrepancies and noted that residents were unable to adjust the flow themselves, and facility policy requiring adherence to physician orders was not followed.
A registered nurse failed to perform hand hygiene before and after medication administration for three residents, including when handling invasive devices and preparing medications. The nurse did not use hand sanitizer or wash hands as required by facility policy, and this was confirmed by both the nurse and the DON during interviews.
Failure to Change Midline Catheter Dressing as Ordered
Penalty
Summary
A deficiency occurred when a resident with a left upper arm single lumen midline catheter did not receive dressing changes as ordered and in accordance with professional standards of practice. Observations over several days revealed that the transparent dressing on the catheter was lifting at the edges and had gauze underneath, which occluded the view of the insertion site. The dressing was dated six days prior to the initial observation and had not been changed since insertion, despite physician orders specifying weekly dressing changes and as needed. The resident confirmed that the dressing had not been changed since it was put in, and staff interviews corroborated that the dressing should have been changed, especially given the presence of gauze under the transparent dressing. Facility policy required midline catheter dressings to be changed every 5-7 days, or every 48 hours if gauze was used under the transparent dressing. Both the RN and the DON acknowledged that the dressing was overdue for a change, particularly because the use of gauze necessitated more frequent changes. The failure to change the dressing as ordered and per policy resulted in the deficiency identified during the survey.
Failure to Administer Oxygen at Physician-Ordered Flow Rates
Penalty
Summary
The facility failed to provide respiratory care and services consistent with professional standards of practice for oxygen administration for three residents with diagnoses including COPD, asthma, emphysema, and respiratory failure. For one resident, physician orders specified continuous oxygen at 2 liters per minute (LPM) via nasal cannula, but observations on multiple occasions found the oxygen being administered at 3 LPM. Staff interviews confirmed the discrepancy and indicated the resident was unable to adjust the oxygen flow independently. Another resident with orders for oxygen at 3 LPM via nasal cannula was observed receiving oxygen at 2 LPM during several checks. Staff confirmed the oxygen was not set at the ordered rate, and the resident reported not knowing how to change the flow. A third resident, dependent on oxygen with orders for 2 LPM, was observed receiving 3.5 LPM, with staff noting the resident could not adjust the flow and suggesting it may have been inadvertently changed by staff. Facility policy required verification and adherence to physician orders for oxygen administration, but these were not consistently followed.
Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
Staff failed to perform proper hand hygiene during medication administration for three residents observed. Specifically, a registered nurse was seen repeatedly accessing the medication cart, preparing medications, and entering residents' rooms without using hand sanitizer or washing hands before donning gloves or after removing them. The nurse administered medications through various routes, including intravenous and gastrostomy tube, and handled invasive devices such as a midline catheter, all without performing hand hygiene as required by facility policy. The facility's policy clearly states that hand hygiene must be performed before and after direct resident contact, before preparing or handling medications, before and after handling invasive devices, and after removing gloves or personal protective equipment. Despite this, the nurse did not follow these procedures during multiple medication passes. Both the nurse and the Director of Nursing acknowledged that the expected infection control standards were not followed during these observations.
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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 Zephyrhills
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hillside Health And Rehabilitation Center | 1.1 mi | ★★★★★ | 11 | 0 |
| Solaris Healthcare Lake Zephyr | 2.4 mi | ★★★★★ | 2 | 0 |
| Adventhealth Dade City | 5.8 mi | — | 0 | 0 |
| Royal Oak Nursing Center | 6.1 mi | ★★★★★ | 1 | 0 |
| Dade City Health And Rehabilitation Center | 6.6 mi | ★★★★★ | 4 | 4 |
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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.