Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Springs At Lake Pointe Woods during CMS and state inspections, most recent first.
Food items were found undated, improperly labeled, and not properly sealed in the kitchen, walk-in refrigerator, freezer, and food prep area. The Dietary Mgr verified the findings and stated food should be sealed, labeled, and dated with receipt, open, and dispose dates. Surveyors also observed a resident's leftover breakfast tray stored under fresh lunch trays on a meal cart, and the Dietary Mgr stated this was crossing clean with dirty/contaminated items.
Improper Dumpster Containment and Trash Accumulation: Four dumpsters used for facility trash and refuse were observed, and two were not fully closed with one lid open. A plastic bag of food waste, a Styrofoam container, and loose trash including used gloves and plastic utensils were scattered on the ground around the dumpsters. The Dietary Manager stated the dumpster lids were supposed to remain closed.
The facility failed to follow ordered wound treatments for two residents with cancerous or non-pressure skin lesions and failed to ensure preventive skin-injury measures for another resident. One resident’s buttock trauma wound was linked to commode positioning, but the care plan lacked precautions tied to that risk. For two other residents, dermatology orders for topical wound medications were not consistently entered or carried out, and staff interviews showed confusion about the orders and documentation.
Improper Storage of Resident Care Items: The facility failed to store residents' personal care items in a sanitary manner in multiple rooms on the unit. Surveyors observed uncovered, unbagged, and unlabeled emesis basins, bed pans, urinals, wash basins, and other resident care items stored on sinks, shower seats, handrails, and floors in shared and private bathrooms; one bathroom also had a large crawling insect. The DON was asked about the storage of residents' personal care items and responded by asking whether the bathroom was private or shared.
Communication Care Plan Not Implemented: A resident with stroke-related deficits, dementia, and severe cognitive impairment had a care plan noting use of a communication book and Spanish-speaking support, but staff repeatedly observed no communication book at bedside or in activity areas. Multiple CNAs, an RN, an LPN, and the DON were unaware of the book’s use or location, and the DON later found it in the resident’s closet.
The facility failed to provide needed hygiene and ADL assistance for two residents who required staff support. One resident with dementia and impaired cognition was observed with unshaven facial hair, greasy hair, and long fingernails with debris under them, while bathing records were inconsistent and did not include nail care. Another resident with weakness, difficulty walking, and care refusal was also observed with facial hair growth, long dirty fingernails, thick curling toenails, and the same clothing on consecutive days, with CNA documentation showing N/A on scheduled shower days and no nail care recorded.
Unsecured medications were found at the bedside of three residents. A prefilled syringe of normal saline was left on one resident's bed, while another resident had a nasal spray, anti-fungal cream, and eye lubricant stored unsecured at the bedside, and a third resident had salicylic acid wart remover unsecured at the bedside. An LPN later verified the unsafe storage.
A resident with multiple health conditions and moderate cognitive impairment, who required a full-body mechanical lift with two-person assistance for transfers, sustained a deep leg laceration when a CNA performed a manual transfer alone, contrary to the care plan. The injury occurred when the resident's leg scraped against an exposed part of the enabler bar. Interviews indicated that single-staff transfers without mechanical lifts were not uncommon, especially on the evening shift, and were considered unsafe by residents.
A resident with multiple comorbidities and fragile skin, requiring a full-body mechanical lift with two-person assistance, sustained a deep leg laceration during a transfer when a CNA performed the transfer alone without the mechanical lift, contrary to the care plan. Other residents also reported that transfers were sometimes conducted by only one staff member, raising concerns about unsafe practices.
A cognitively impaired resident with a history of traumatic brain injury and confusion was able to elope from a facility due to inadequate supervision and an incomplete elopement risk assessment. The resident, who exhibited exit-seeking behavior, was escorted to the lobby by a staff member who did not verify her identity. She then exited the facility unnoticed, exposing her to significant risks outside.
A facility failed to protect a resident from abuse when a CNA provided care alone to a resistive resident, resulting in bruising and pain. The resident's care plan, which required updating to two-person assistance, was not revised, contributing to the incident.
Food items were left undated, improperly stored, and mixed with clean meal service items
Penalty
Summary
The facility failed to store and distribute food in accordance with professional standards for food service safety. During the initial kitchen tour, multiple food items in the reach-in refrigerator were observed without required date markings, including juice cups, tomato slices, an unknown white food item, fresh fruit, oat milk, and a nutritional drink with an opened date that was not clearly legible. In the walk-in refrigerator, surveyors observed shredded cheese with an illegible label, sliced cheese in zip lock bags that were not sealed, opened cheese and butter or margarine containers that were not dated, maraschino cherries and beverage pitchers that were undated, a pastry bag with an unidentified substance labeled as opened on 4/5, a pitcher of fruit punch with a prep date of 4/11 and disposal date of 4/15, an opened carton of thickened lemon water, thickened cranberry juice dated 4/13/26, and undated pudding consistency food items and pineapple chunks. In the walk-in freezer, surveyors found an open bag of individual sized pre-prepared cookie dough that was not dated or properly sealed, two trays of biscuits that were not dated, and two opened sleeves of waffles that were not dated. In the food preparation area, a bin of thickener was dated 2/23 with a disposal date of 3/23, brown sugar was dated 3/11 with a dispose date of 4/11, and an opened container of ground oregano was undated. The Dietary Manager verified the unlabeled and undated food items and stated that food items should be sealed, resealed, labeled, and dated with a receipt date, open date, and dispose date. Dietary staff also provided a list stating labels must include product name, open date, expiration date, and initials, and that wrapped items must be wrapped tight. During lunch cart observation on the [NAME] Unit, a tray of a resident's leftover breakfast food was stored on the bottom rack of the cart underneath residents' lunch trays, and the Dietary Manager later stated that leftover breakfast trays should not be stored with fresh lunch trays because it was crossing clean with dirty/contaminated.
Improper Dumpster Containment and Trash Accumulation
Penalty
Summary
Garbage and refuse were not properly contained in the facility dumpsters, and the surrounding area was not maintained in a sanitary condition free of trash and debris. During observation of the area around the dumpsters with the Dietary Manager, four dumpsters used for facility trash and refuse were seen, each with two lids. Two of the dumpsters were not fully closed, with one lid open. A plastic bag of food waste, a Styrofoam container, and loose trash including used gloves and plastic utensils were observed scattered on the ground around the dumpsters. During the observation, the Dietary Manager stated that the dumpster lids were supposed to remain closed. Photographic evidence was obtained.
Failure to Follow Wound Treatment Orders and Prevent Skin Injury
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders and resident-specific needs for two residents with non-pressure wounds, and failed to ensure preventive measures were in place for one resident with skin injury risk. For one resident with a right buttock trauma wound, the record showed the wound began after the resident was positioned on a commode and later worsened, but the care plan did not include precautions to prevent further injury from improper commode positioning. Staff interviews indicated the resident was still using the same commode, and the Director of Rehabilitation stated there was no documentation showing therapy evaluation for a new commode or training for CNAs on positioning the resident to prevent injury. For another resident with a right upper arm skin lesion, dermatology ordered topical fluorouracil and wound care treatment, but the record showed the ordered medication and treatment were not consistently entered and carried out as documented. The dermatology note stated the wound care nurse said the order was never given to her and the medication was never applied. The resident’s care plan addressed the skin issue generally, but the record showed the ordered treatment was not reliably implemented as prescribed. For the third resident with a malignant lesion on the left buttock, dermatology ordered mupirocin ointment, but staff continued using a different medication after the order changed, and later documentation showed the mupirocin order was not entered or applied as ordered. The treatment administration record also showed multiple dates in April when the mupirocin treatment was not signed as completed. Staff interviews confirmed they could not explain why the orders were not entered, and the DON could not explain what happened to the paper prescriptions or why the dermatologist’s orders were not entered into the electronic record.
Improper Storage of Resident Care Items
Penalty
Summary
The facility failed to provide necessary repair and to store residents' personal care items in a sanitary manner in 7 of 17 rooms observed on the [NAME] Unit. Review of the facility policy titled, Environmental Services - Safe Environment, stated that the facility will provide a safe, clean, comfortable and homelike environment and that sanitary conditions include preventing the spread of disease-causing organisms by keeping resident care equipment clean and properly stored. During an initial tour of the unit, surveyors observed multiple items stored uncovered, unbagged, unlabeled, or otherwise improperly placed in shared and private bathrooms. In room 101's shared bathroom, two emesis basins containing residents' care items were uncovered on the sink, and an unlabeled bed pan was stored unbagged behind the toilet. In room 104's shared bathroom, an unbagged urinal labeled 101-1 hung on a handrail, another unlabeled and unbagged urinal hung in the shower, and two unbagged bed pans, a towel, and a bedside commode bucket were stacked on the shower seat. In room 106, an unlabeled and uncovered bedpan was on the floor under the toilet. In room 107's shared bathroom, an unlabeled and unbagged urinal hung from a bedside commode arm rest, and a wash basin, used towel, and unlabeled deodorant stick were on the shower seat; a large crawling insect was also observed in the bathroom. In room 108's shared bathroom, an unlabeled and unbagged cup with a toothbrush and toothpaste was on the sink, and an unlabeled and unbagged washbasin containing resident care items, mouth wash, aftershave, wipes, and other items was on the shower seat. In room 110's shared bathroom, two unlabeled and unbagged wash basins were stacked on the sink. In room 111's shared bathroom, an unlabeled and unbagged wash basin was stored on the floor under the sink. When asked about storage of residents' personal care items, the DON replied, 'Is it in a private or shared bathroom?'
Communication Care Plan Not Implemented
Penalty
Summary
The facility failed to implement the comprehensive person-centered care plan to meet the communication needs of one resident. The resident was admitted with diagnoses including cerebral infarction, right-sided hemiplegia and hemiparesis, dementia, and cognitive communication deficit. The quarterly MDS showed a BIMS score of 3 out of 15, indicating severe cognitive impairment, and noted that the resident was sometimes understood and could express ideas and wants only through concrete requests, while understanding others only sometimes and responding adequately to simple, direct communication. The care plan, reviewed with a date of 3/19/26, stated that the resident was alert and oriented, able to make needs and wants known, and that a communication book was at bedside and in the activity room. However, observations showed the resident in her room and in activity areas without a communication book present or available. Staff interviews showed multiple staff members were unaware the resident used a communication book, and several stated they had not seen one. The DON stated the facility usually assigned a Spanish-speaking staff member, but did not explain how communication occurred when the resident was in the activity room with staff who did not speak Spanish. The DON later found the communication book in the resident's closet and stated she did not know the specific locations listed in the care plan.
Failure to Provide Personal Hygiene and ADL Assistance
Penalty
Summary
The facility failed to provide necessary care to maintain personal hygiene for two residents who required staff assistance with ADLs. Resident #86 had diagnoses including dementia, repeated falls, anxiety, and major depressive disorder, and the MDS showed moderate cognitive impairment. The care plan and CNA Kardex directed staff to assist with ADLs, keep fingernails short, and provide bathing support, including sponge baths when a full bath or shower could not be tolerated. Resident #86 was observed with 3 to 4 days of facial growth, untrimmed fingernails extending about 1/2 inch with brown or black substance under the nails, and hair that was not combed and appeared greasy. Shower documentation showed a shower on one date and bed baths on two other dates, with one refusal documented, but no other shower sheets were found in the logbook. The shower sheets did not include nail care documentation, and the CNA documentation in the electronic record did not match the shower sheet entries. Nursing progress notes also did not document the bed bath recorded on shower days. Resident #56 had diagnoses including severe protein calorie malnutrition, anxiety disorder, and difficulty walking, and the care plan identified a need for assistance with bathing/showering and dressing. The resident also had a behavior problem related to refusing care. He was observed with about 4 days of facial hair growth, fingernails extending about 1/2 inch with brown substance under them, thick toenails beginning to curl over the toes, and he was wearing the same shirt the next day. CNA documentation showed N/A on multiple scheduled shower days, with no documentation of nail care. Staff interviews indicated differing understandings of shower and nail care expectations, and the DON stated nail care should be done weekly and men should be shaved, but there was no specific time for nail care.
Unsecured Medications Found at Residents' Bedside
Penalty
Summary
The facility failed to ensure safe storage of medications for 3 residents observed with unsecured medications at the bedside. On 4/20/26 at 9:48 a.m., a prefilled syringe of normal saline was observed in Resident #56's bed, and the resident stated that the nurse had been in the room and left the syringe on the bed. Later that day, observation of Resident #24's room revealed a bottle of nasal spray, 1 tube of anti-fungal cream, and 2 bottles of eye lubricant stored unsecured at the bedside, and a bottle of salicylic acid 17% wart remover was also observed unsecured at Resident #97's bedside. Photographic evidence was obtained for these observations, and on 4/21/26 at 10:23 a.m., LPN Staff K verified the unsafe and unsecured storage of the medications at the bedside of Residents #24, #97, and #56.
Failure to Follow Care Plan for Safe Transfers Results in Resident Injury
Penalty
Summary
A deficiency occurred when staff failed to follow the care plan and safety precautions for a resident who required a full-body mechanical lift with two-person assistance for transfers. The resident, who had diagnoses including chronic obstructive pulmonary disease, kidney disease, neuropathy, and fragile skin, was admitted for short-term rehabilitation and had moderate cognitive impairment. The care plan and Kardex both specified the need for a mechanical lift and two staff members for all transfers due to the resident's decreased mobility and generalized weakness. On the day of the incident, the resident requested to return to bed. Staff A, a CNA, sought assistance from Staff B, another CNA, after noticing the Hoyer lift pad was not under the resident. Despite Staff A's suggestion to transfer the resident together, Staff B insisted on performing the transfer alone without the mechanical lift, using a manual method that involved putting her arms around the resident and standing her up. During this transfer, the resident's leg scraped against an exposed, rough part of the enabler bar, resulting in a deep laceration that required seven sutures. Interviews with other residents who required mechanical lifts revealed that transfers were sometimes performed by only one staff member, particularly on the evening shift, and that this practice was perceived as unsafe. Staff interviews confirmed that the care plan was not followed during the incident, and the Director of Nursing acknowledged that staff had failed to adhere to the resident's transfer requirements.
Failure to Follow Transfer Protocols Resulting in Resident Injury
Penalty
Summary
A deficiency occurred when staff failed to follow the care plan and safety precautions for a resident who required a full-body mechanical lift with two-person assistance for transfers. The resident, who had diagnoses including chronic obstructive pulmonary disease, kidney disease, neuropathy, and fragile skin, was admitted for short-term rehabilitation and had moderate cognitive impairment. The care plan and Kardex both specified the need for a Hoyer lift and two staff members for all transfers due to the resident's decreased mobility and generalized weakness. On the day of the incident, the resident requested to return to bed. Staff A, a CNA, sought assistance from Staff B, another CNA, as the Hoyer pad was not under the resident. Despite Staff A's suggestion to use the Hoyer lift together, Staff B insisted on transferring the resident alone without the mechanical lift, using a manual method. During the transfer, the resident's leg scraped against an exposed, rough part of the enabler bar, resulting in a deep laceration that required seven sutures. The resident reported that two staff were present, but only one performed the transfer, contrary to the care plan. Interviews with other residents revealed similar concerns, with two additional residents stating that transfers were sometimes performed by only one staff member, especially on the evening shift, and that this practice felt unsafe. Staff interviews confirmed that the care plan was not followed during the incident, and the Director of Nursing acknowledged that staff did not adhere to the required transfer procedures for the resident.
Inadequate Supervision Leads to Resident Elopement
Penalty
Summary
The facility failed to provide adequate supervision to prevent unsafe wandering and elopement for a newly admitted cognitively impaired resident. The resident, who had a history of traumatic subdural hemorrhage and was diagnosed with encephalopathy and alcohol use, was admitted to the facility with short-term memory loss and occasional confusion. Despite these conditions, the elopement risk evaluation was incomplete, resulting in a score that did not identify the resident as at risk for elopement. On the morning of the incident, the resident exhibited exit-seeking behavior, attempting to leave the facility under the belief that her daughter was there to pick her up. A staff member, unaware of the resident's identity, escorted her to the lobby, where she was left unsupervised. The resident then exited the facility through the front lobby door, which was not adequately secured to prevent such an occurrence. The staff did not realize the resident was missing until later, and she was found outside the facility by a laboratory technician. The facility's failure to implement adequate supervision and properly assess the resident's elopement risk created a likelihood of avoidable accidents. The resident was able to leave the facility unnoticed, which exposed her to significant dangers, including the risk of being hit by a car, assaulted, or falling into a nearby pond. This incident highlighted deficiencies in the facility's procedures for monitoring and supervising residents with cognitive impairments and exit-seeking behaviors.
Removal Plan
- All exterior doors were checked by the Director of Nursing, Administrator, and Maintenance Technician. All were in good working order with no deficiencies noted.
- Resident #1 was placed on enhanced monitoring with continuous checks for supervision in addition to a wander management bracelet until discharge.
- Exit button used by Resident #1 in front lobby to exit front door was disabled by the Administrator. Secured lock box was placed over exit button. A sign was placed on the lock box to see nurse to exit facility after hours.
- Elopement education for staff began with 100% participation of current staff.
- Direct care staff have participated in one or more elopement drills.
- QAPI meeting was held to review resident elopement performance improvement plan.
- Root Cause Analysis was completed and determined the individual nurse did not follow facility practice in identifying residents.
- All residents currently identified at risk for elopement were verified to have their wander management device in place and functioning properly.
- Current residents were re-evaluated for elopement risk and documented in PCC electronic clinical record.
- Staff Elopement drills were initiated and continued every eight hours, then weekly.
- Director of nursing/designee has been auditing elopement evaluations in morning clinical meeting on new/readmission residents.
- Licensed nurses were educated regarding taking new admission photos and uploading them into Point Click Care upon admission.
- Adverse Incident was completed by DON and submitted to AHCA.
- New staff are educated/oriented to elopement/missing resident policy and procedures upon general orientation.
- Employees receive education on elopement/missing resident policy and procedures.
- Residents at risk for elopement are supervised by multiple interventions, including participation in activities, eating in monitored areas, and increased supervision during off hours.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident from abuse, as evidenced by an incident involving a Certified Nurse Assistant (CNA) who provided care alone to a resident known to be resistive. The CNA admitted to grabbing the resident to prevent her from falling, which resulted in bruising and pain to the resident's left forearm. The resident, who is aphasic, indicated distress and pointed to her left arm when asked about the care. The resident's sister also reported that the resident had been upset and felt the staff member had been rough during care. The Director of Nursing (DON) acknowledged that an investigation was conducted but concluded that there was no intent to cause harm. However, the care plan, which initially required one-person assistance, had not been updated to reflect the need for two-person assistance despite the resident's resistive behaviors. This oversight contributed to the incident, as the CNA attempted to provide care alone, contrary to the resident's needs.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 129 citations issued within 25 miles in the last 12 months — including the 10 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sarasota
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bay Village Of Sarasota | 0.7 mi | ★★★★★ | 0 | 0 |
| Brookdale Palmer Ranch Snf | 2 mi | ★★★★★ | 0 | 0 |
| Glenridge On Palmer Ranch Inc. | 2.3 mi | ★★★★★ | 0 | 0 |
| Crescent Health And Rehabilitation Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Creekside Health And Rehabilitation Center | 2.6 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.