Above average — CMS composite of the measures below.
The next survey window likely opens around September 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 Specialty Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with dependence on supplemental O2 had an active order for O2 at 2 LPM every shift for SOB and was observed wearing O2 via NC during multiple observations. Staff confirmed the resident had been on O2 since admission, but the admission care plan did not include any O2-related care plan even though O2 was captured on the MDS and documented on the MAR.
A resident with cirrhosis, ascites, and hyperammonemia was receiving Xifaxan, ursodiol, and lactulose, and the care plan called for ongoing lab monitoring of ammonia levels. The record showed repeated missed or incomplete ammonia testing, including unreceived, uncollected, cancelled, and rejected specimens, and the physician confirmed a repeat ammonia level had been intended but was not ordered.
A resident room call system was not functional, and two restroom call systems were not positioned so they could be reached from the toilet. Staff and the Regional Maintenance Director confirmed one cord was only about 5 inches long and another was wrapped around the toilet seat riser frame, preventing access to the call system.
A resident receiving intravenous antibiotics had incomplete medication administration records (MARs) in the facility. The MARs lacked documentation for Cubicin and Merrem on multiple occasions, despite facility policy requiring full documentation. Interviews with an LPN and the DON confirmed the expectation for complete MAR documentation.
Failure to Include Oxygen Therapy in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for the safety and use of oxygen therapy for one resident who had an active diagnosis of Dependence on Supplemental Oxygen. The resident was observed multiple times wearing oxygen via nasal cannula, with the flow noted at 1 liter per minute during several observations, while staff interviews indicated the resident had been receiving oxygen since admission and was wearing oxygen continuously at 2 liters per minute. Record review showed an active order for oxygen at 2 liters per minute every shift for shortness of breath, and the medication administration record documented nurse initials each shift since admission. However, the resident’s care plan dated 8/15/25 did not include any care plan for oxygen. The MDS/Care Plan Coordinator confirmed oxygen was captured on the MDS dated 8/20/25 but was not included on the admission care plan, and stated that if oxygen is captured on the MDS, it should absolutely be captured on the resident’s care plan.
Failure to Monitor Ammonia Levels for Resident With Cirrhosis
Penalty
Summary
The facility failed to provide adequate monitoring of labs for a resident with an active diagnosis of cirrhosis of the liver and ascites who was receiving Xifaxan, ursodiol, and lactulose for liver-related conditions, including hyperammonemia. The resident’s care plan identified a history of elevated ammonia levels and stated that laboratory values would be monitored, with labs obtained as ordered by the physician to assess baseline values and follow changes in condition. The record showed an ammonia level of 185 on 3/2/25, after which the resident was sent to the emergency room for altered mental status and elevated ammonia. Subsequent ammonia level orders were not completed as ordered. The 3/3/25 order had no specimen received by the lab, the 5/22/25 order was reported as an uncollected specimen, and the 5/23/25 order for every six months in January and July was later cancelled by the facility, with no July ammonia level obtained. An ammonia level ordered for 10/1/25 was rejected by the lab because the sample bag was damaged in transit, and the physician later confirmed that a repeat ammonia level had been intended but was not ordered. Nursing staff described that lab orders were entered into the resident chart and lab portal, results were checked in the portal, and providers were notified of results, while the DON stated the lab portal and lab book were used to track specimens and results.
Call Systems Not Functional or Reachable in Resident Room and Restrooms
Penalty
Summary
The facility failed to ensure that a working call system was available in a resident room and in two resident bathrooms/bathing areas. During an observation and test of the call system in room [ROOM NUMBER]-1, the system did not appear functional, and a CNA acknowledged that it was not functional. In one restroom for room [ROOM NUMBER], the call system cord was observed to be only 5 inches long and too short to reach the toilet. In another observation of the same restroom, the call system cord was wrapped around the toilet seat riser frame and did not reach the toilet. Staff interviews confirmed that the resident in room [ROOM NUMBER]'s bed 2 usually toileted independently and at times used the restroom call system. A CNA stated the resident toileted himself. The Regional Maintenance Director observed the restroom call system cord and confirmed it was too short and would not be reachable if the resident were on the floor. He also confirmed the cord was wrapped around the toilet seat riser frame during a later observation.
Incomplete Medication Administration Records for Intravenous Therapy
Penalty
Summary
The facility failed to complete medication administration records (MARs) for a resident receiving intravenous therapy. The resident had physician's orders for two antibiotics, Merrem and Cubicin, to be administered intravenously for prophylaxis. However, the MARs showed that Cubicin was not documented on two occasions, and Merrem was not documented on four occasions. Interviews with a Licensed Practical Nurse (LPN) and the Director of Nursing (DON) confirmed that the facility's policy required full documentation of medication administration, whether given or not. The facility's policy on charting errors and omissions, dated November 2001, stated that any omitted documentation is considered an error or omission.
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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 Pensacola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Pensacola, Llc | 3.1 mi | ★★★★★ | 3 | 0 |
| De Luna Health And Rehabilitation Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Pensacola Nursing & Rehabilitation Center | 3.4 mi | ★★★★★ | 20 | 0 |
| Olive Branch Health And Rehabilitation Center | 5.3 mi | ★★★★★ | 1 | 0 |
| Solaris Healthcare Pensacola | 5.4 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.