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 Tiffany Hall Nursing And Rehab Center during CMS and state inspections, most recent first.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A deficiency was cited due to the facility's failure to keep an area free from accident hazards and to provide adequate supervision to prevent accidents, as observed by surveyors.
A resident with moderate cognitive impairment reported an incident of verbal abuse involving inappropriate language by an aide. The Speech Language Pathologist (SLP) reported the incident to the Social Services Director (SSD), who documented it as a grievance but did not report it as abuse to authorities. The SSD did not confirm the staff member involved and believed the allegation was inconsistent, leading to a deficiency in handling abuse allegations.
A facility failed to change a resident's indwelling urinary catheter as per the physician's order, which required monthly changes on the 20th and as needed. The resident, with a history of recurrent UTIs, had no documented catheter changes in December and January. An observation noted the resident's urinary collection bag improperly positioned, and an interview with the unit manager confirmed the oversight.
A resident with a urostomy experienced leakage due to the use of incorrect ostomy bags, as staff at the facility failed to utilize the appropriate supplies. Despite having the correct supplies available, staff confusion and improper use of colostomy bags instead of urostomy bags led to frequent leakage and wet clothing for the resident.
The facility failed to maintain adequate nutritional status for two residents, resulting in significant weight loss. One resident did not receive timely weight measurements or fortified foods as ordered, while another experienced weight loss due to inconsistent documentation of meal intake. Staff interviews revealed errors in meal ticket systems and documentation practices, contributing to the deficiencies.
The facility failed to maintain and replace respiratory equipment as ordered for three residents. A resident's nebulizer tubing and mask were not changed for two weeks, and two residents had dirty oxygen concentrator filters, despite orders for weekly maintenance. Staff were unaware of the orders, leading to improper equipment handling.
The facility failed to implement proper infection control practices for two residents, as evidenced by the absence of Enhanced Barrier Precaution (EBP) signage and PPE during direct care. One resident with a Foley catheter and another with a staphylococcus infection post-surgery did not have appropriate EBP signage or PPE available, leading to lapses in infection control measures.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which could contribute to accidents occurring. Specific actions or inactions leading to this deficiency include the lack of proper oversight and the presence of hazards in the area, as directly observed by surveyors.
Failure to Report Verbal Abuse Allegation
Penalty
Summary
The facility failed to identify and report a credible allegation of verbal abuse involving a resident with moderate cognitive impairment. The resident, who had a Brief Interview for Mental Status (BIMS) score of 10, reported an incident involving inappropriate language with an aide. The resident mentioned the incident to his Speech Language Pathologist (SLP), who then reported it to the Social Services Director (SSD). The SSD documented the incident as a grievance but did not report it as an abuse allegation to the appropriate authorities, including local law enforcement, the State Agency, and the facility Administrator. The SLP stated that the resident reported being called a derogatory term by an aide, which she considered verbal abuse. However, the SSD advised the SLP to use less specific language in the grievance form. The SSD did not report the incident as abuse because she could not confirm the staff member involved and believed the allegation was inconsistent. Despite acknowledging that the language used constituted verbal abuse, the SSD did not report the incident, as she thought it was not reportable without confirmation. This inaction led to a deficiency in the facility's handling of abuse allegations.
Failure to Change Urinary Catheter as Ordered
Penalty
Summary
The facility failed to adhere to the physician's order for changing the indwelling urinary catheter of Resident #79, who was admitted with a medical diagnosis of urinary retention and had a history of recurrent urinary tract infections (UTIs). The physician's order, dated 10/21/24, specified that the catheter should be changed monthly on the 20th and as needed. However, a review of the Treatment Administration Record (TAR) for December 2024 and January 2025 showed no documentation of the catheter being changed during these months. An observation on 02/17/25 noted that the resident was asleep in bed with a urinary collection bag hanging below the level of the bed linen. An interview with Staff D, the East Unit Manager, confirmed the lack of documentation for the catheter change, indicating non-compliance with the physician's order.
Inadequate Urostomy Care Due to Incorrect Supplies
Penalty
Summary
The facility failed to provide appropriate urostomy care and services for a resident, resulting in the use of incorrect supplies that led to leakage. The resident, who was admitted with a urostomy and required substantial to maximum assistance, experienced leakage due to the use of the wrong type of ostomy bag. Despite physician orders to monitor and change the urostomy bag as needed, staff interviews and observations revealed that the resident was wearing an incorrect bag, which was not suitable for a urostomy, leading to frequent leakage and wet clothing. Interviews with staff indicated a lack of understanding and availability of the correct urostomy supplies. The resident reported that staff used a diaper to cover the ostomy, which was ineffective. Staff members, including CNAs and LPNs, demonstrated confusion about the correct supplies, with some mistakenly using colostomy bags instead of urostomy bags. Despite the central supply having the correct urostomy supplies available, they were not utilized properly, contributing to the ongoing issue of leakage for the resident.
Failure to Ensure Adequate Nutritional Status for Residents
Penalty
Summary
The facility failed to ensure adequate nutritional status for two residents, leading to significant weight loss. Resident #99, who was admitted with severe cognitive impairment, experienced a 6.85% weight loss over a 21-day period. The facility did not weigh the resident weekly as per policy, and there was a delay in implementing fortified foods as ordered by the Registered Dietitian (RD). The Certified Dietary Manager (CDM) acknowledged an error in the meal ticket system that prevented the resident from receiving fortified foods, which were supposed to be part of the resident's nutritional support. Resident #69, also with severe cognitive impairment and multiple medical conditions, experienced significant weight loss over several months. Despite having dietary orders for fortified foods and supplements, there was a lack of consistent documentation of meal intake. The Diet Tech noted that staff were not documenting the resident's intake as recommended, which hindered the ability to monitor and address the resident's nutritional needs effectively. Interviews with staff revealed inconsistencies in how meal intake was recorded in the electronic health records. The deficiencies in the facility's processes for monitoring and supporting the nutritional needs of these residents were evident in the lack of timely weight measurements, failure to implement dietary orders, and inadequate documentation of meal intake. These actions and inactions contributed to the residents' significant weight loss, highlighting a failure to adhere to established policies and procedures for maintaining residents' nutritional health.
Deficiencies in Respiratory Equipment Maintenance
Penalty
Summary
The facility failed to ensure proper maintenance and timely replacement of respiratory equipment for three residents, leading to deficiencies in respiratory care. For one resident with severe cognitive impairment, the nebulizer tubing and mask were not changed for two weeks, despite a physician's order to change them weekly. Observations revealed that the nebulizer mask and tubing were dated from two weeks prior, and medication was still present in the canister, indicating improper handling and maintenance of the equipment. Two other residents experienced issues with their oxygen concentrator filters. One resident's filter was found to be dirty with visible dust particles, and the staff responsible for cleaning the filters were unaware of the medical order to clean them weekly. Another resident's filter was also observed to be covered with a large amount of dust, despite documentation indicating it had been cleaned. These findings highlight a failure in adhering to physician orders and facility policies regarding the maintenance of respiratory equipment.
Infection Control Deficiencies in PPE and EBP Signage
Penalty
Summary
The facility failed to ensure proper infection control practices for two residents, as evidenced by the absence of Enhanced Barrier Precaution (EBP) signage and the failure to use Personal Protective Equipment (PPE) during direct care. For Resident #79, who had a physician's order for EBP due to Foley catheter care, there was no EBP signage or PPE gown supplies in the room. During an observation, a Certified Nursing Assistant (CNA) was seen assisting the resident to the shower without wearing a gown. The Infection Preventionist (IP) admitted to not moving the EBP sign and PPE supplies when the resident changed rooms, confirming that EBP should have been used during care. For Resident #356, who had a staphylococcus infection following cervical spine surgery and required intravenous antibiotics, there was no visible indication of EBP, nor were there PPE supplies available near the resident's room. The resident's medical records included orders for EBP when administering intravenous medications or providing care to the intravenous site. However, during an observation, it was noted that there was no signage or PPE available, indicating a lapse in following the prescribed infection control measures.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 78 citations issued within 25 miles in the last 12 months — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Port Saint Lucie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palm Garden Of Port Saint Lucie | 0.2 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Port Saint Lucie | 0.6 mi | ★★★★★ | 15 | 0 |
| Savannas Park Health And Rehabilitation Center | 1.1 mi | ★★★★★ | 21 | 0 |
| Port St Lucie Rehabilitation And Healthcare | 4.7 mi | ★★★★★ | 0 | 0 |
| Waters Edge Health And Rehabilitation | 6.8 mi | ★★★★★ | 0 | 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.