Below 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 Vivo Healthcare Meadows during CMS and state inspections, most recent first.
A resident admitted as Medicaid pending was later converted to private pay after declining to provide information needed for a Medicaid application and paid $2660.00 for seven days of room and board, including a patient responsibility amount of $891.00. After discharge, the resident and life companion repeatedly inquired about a refund that was acknowledged as owed by the BOM and Administrator, who stated that checks were processed at the corporate level. Despite the facility’s policy that private pay refunds are issued within 30–45 days after account reconciliation and the Regional BOM’s report that the account was reconciled and a refund amount agreed upon, the resident still had not received the refund several weeks after discharge.
Three residents with dementia who had designated representatives were disenrolled from their Medicare Advantage plans without proper authorization or documentation. The facility changed their insurance coverage without notifying or obtaining consent from the responsible parties, and there was no evidence of completed disenrollment forms or documented communication with families, contrary to facility policy.
The facility failed to maintain adequate lighting in the parking area, leading to safety concerns. A family member and staff reported the parking lot was dark at night, and the Administrator confirmed several lights were out. The Maintenance Director noted that repairs were delayed due to a pending hurricane, with lights out for about a month.
The facility's pest control program was ineffective, as residents reported seeing bugs despite regular spraying. Pest logs showed frequent bug sightings, and the Maintenance Director acknowledged incomplete repairs needed to prevent pest entry, contributing to the ongoing issue.
Two residents in a facility were inaccurately assessed, leading to deficiencies in their care. One resident with dementia had severely decayed teeth, but assessments failed to note any dental issues. Another resident, at risk for pressure ulcers, was inaccurately assessed as not at risk, despite developing a pressure ulcer. The MDS Coordinator admitted to relying on incorrect information without direct observation, resulting in inaccurate documentation of the residents' conditions.
A facility failed to update a care plan and implement physician-ordered interventions for a resident at risk of pressure ulcers. Despite a physician's order for offloading boots, the resident was observed without them on multiple occasions, and the care plan and CNA Kardex were not updated. Staff interviews revealed a lack of awareness about the order, highlighting a communication lapse.
A resident with multiple health conditions did not receive adequate personal hygiene care, as evidenced by long, unkempt fingernails, facial hair, and strong body odor. Despite a care plan addressing the resident's resistance to hygiene care, staff interviews revealed inconsistencies in care provision, and management was unaware of the issues. The resident was observed wearing the same clothing on consecutive days, and there was no documentation of care refusal.
A resident with dementia and severely impaired cognition was found to have multiple broken and decayed teeth, yet the facility failed to provide or arrange necessary dental care. Despite the facility's policy requiring assistance in obtaining dental services, there was no documentation of coordinated care in the resident's record. Initial assessments did not note dental concerns, and although the care plan identified risks of oral discomfort, no follow-up actions were documented. Interviews with the DON and Administrator confirmed the oversight.
The facility failed to ensure that within 30 days of discharge, eviction, or death, residents' personal funds and a final accounting were provided to the individual or probate jurisdiction administering the estate. A resident's son reported that his mother passed away, and despite being informed that the refund was approved, the check had not been issued due to an oversight by the third-party company responsible for disbursements.
A resident returning from the hospital did not have her routine medications restarted, as confirmed by the DON. The resident's son reported concerns about her medication administration, and the DON acknowledged that the medications were overlooked. The resident passed away before transitioning to Hospice care.
Failure to Timely Issue Refund to Discharged Resident
Penalty
Summary
The facility failed to ensure a resident’s refund was issued within the required timeframe after discharge. The resident was admitted on 12/9/25 as Medicaid pending and discharged on 12/16/25. According to the Business Office Manager (BOM), the resident did not provide the information needed to complete the Medicaid application and was switched to private pay. The resident’s life companion reported that a check for $2660.00 had been given to the facility and that they had been waiting for a refund since the discharge, having recently spoken with the Administrator but still not receiving the money. The BOM stated that the resident had paid a patient responsibility of $891.00 and that the facility owed a refund for this amount after the check was processed. The Administrator confirmed that the resident was admitted as Medicaid pending, later converted to private pay, and that a refund was owed, but explained that checks were issued at the corporate level rather than by the facility. Documentation showed the resident was active from 12/9/25 through 12/16/25, with an invoice for seven days of private room and board at $380.00 per day totaling $2660.00. The facility’s Resident Refund Policy, implemented 05/2025 and reviewed 1/2026, stated that private pay refunds were to be issued within 30–45 days after the resident account was fully reconciled. The Regional Business Office Manager reported that there had been confusion about the refund amount, that reconciliation occurred on 1/6/26, and that although the refund check had been obtained, as of 2/10/26 the resident still had not received the refund. She verified that the policy did not specify refunds must be provided within 30 days from the date of discharge and that the resident remained without the refund well beyond discharge.
Failure to Obtain Proper Authorization for Medicare Advantage Disenrollment
Penalty
Summary
The facility failed to properly exercise the rights of three residents with dementia who had designated representatives by disenrolling them from their Medicare Advantage coverage without proper authorization or documentation. Facility policy states that residents have the right to choose their own healthcare insurance coverage and that only the beneficiary or their authorized representative can request enrollment or disenrollment from a Medicare plan. Written authorization is required for the facility to act on behalf of the resident in these matters. Resident records showed that all three residents had cognitive impairments and had designated responsible parties or legal representatives, such as a spouse, daughter, or guardian, to make healthcare decisions. Despite this, the facility changed the residents' primary payor from their Medicare Advantage plans to Medicare A without documented consent from the residents' representatives. There was no evidence in the clinical records or electronic medical records of completed disenrollment request forms or documentation of conversations with the families regarding the insurance changes. Interviews confirmed that the responsible parties were not notified or consulted prior to the insurance changes. One spouse reported not being contacted about the change, resulting in loss of coverage and subsequent billing issues. The Business Office Manager acknowledged that there was no documentation of family notification or completed disenrollment forms for any of the affected residents, despite facility policy requiring such actions when residents have cognitive impairment.
Inadequate Lighting in Facility Parking Area
Penalty
Summary
The facility failed to maintain a safe and functional environment by not making timely repairs to the lighting in the parking area and facility grounds. The Quality Assurance and Improvement Plan of the facility specifies the need for a comprehensive maintenance program to ensure safety, but observations and interviews revealed deficiencies in this area. A family member of a resident expressed concerns about the darkness of the parking lot at night, describing it as creepy and unsafe. Staff members, including a Registered Nurse and a Licensed Practical Nurse, confirmed that the parking lot was inadequately lit and had been so for an extended period. The Administrator acknowledged that several lights were out and attributed the delay in repairs to a pending hurricane, which postponed the scheduled replacement of lightbulbs. The Maintenance Director confirmed that two lights had been out for about a month and were scheduled for repair. Despite having order forms for the lights dated nearly a month prior, the facility had not yet completed the necessary repairs, leaving the parking area insufficiently lit and potentially unsafe for residents, staff, and visitors.
Ineffective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple observations and resident interviews indicating the presence of bugs in various areas of the facility. Residents reported seeing medium-sized black and brown bugs crawling on walls and floors, with one resident noting that the pest control measures, such as spraying, were ineffective. The pest control logs documented numerous instances of bug sightings in resident rooms, common areas, and the nourishment room over several months, indicating a persistent issue. The Maintenance Director acknowledged the presence of pest logs at each nursing station and confirmed that a pest control company visits weekly to spray the facility. However, the pest control service reports consistently documented "no activity" while also recommending necessary repairs to prevent pest entry, such as sealing baseboards, trimming vegetation, and repairing gaps in doors and kitchen areas. Despite being aware of these recommendations, the Maintenance Director admitted that not all necessary repairs had been completed, contributing to the ongoing pest problem.
Inaccurate Resident Assessments Lead to Care Deficiencies
Penalty
Summary
The facility failed to ensure accurate comprehensive assessments for two residents, leading to deficiencies in their care. Resident #78, who was admitted with a diagnosis of dementia, was observed with severely decayed teeth, yet her assessments inaccurately noted no dental issues. Despite a care plan indicating a risk for oral discomfort due to dental caries, the MDS assessments did not reflect her true dental status. The MDS Coordinator admitted to completing the assessment based on incorrect information from the Nursing Comprehensive assessment and not observing the resident's dental condition. Resident #105, who was at risk for pressure ulcers, was inaccurately assessed as not being at risk in the Quarterly MDS assessment. This resident, with severe cognitive impairment and total dependence on staff for repositioning, developed a pressure ulcer that was not documented in the Discharge MDS assessment. The MDS Coordinator acknowledged the inaccuracy and confirmed that the resident's risk for pressure ulcers should have been noted. These deficiencies highlight a failure in the assessment process, where the MDS Coordinator relied on incomplete or incorrect information without direct observation, leading to inaccurate documentation of residents' conditions. The Director of Nursing and the MDS Coordinator both verified the inaccuracies in the assessments, acknowledging the oversight in identifying and addressing the residents' needs.
Failure to Implement Physician-Ordered Interventions for Pressure Ulcer Prevention
Penalty
Summary
The facility failed to update the care plan and implement physician-ordered interventions to prevent the development of pressure ulcers for a resident with limited mobility. The resident, who was admitted with diagnoses including difficulty walking, muscle weakness, reduced mobility, and a compression fracture of the vertebra, was assessed as being at risk for pressure ulcers. A physician's order dated 9/10/24 required the application of bilateral offloading boots every shift while in bed, but observations on multiple occasions revealed that the resident was not wearing the boots, and they were not present in the room. The care plan, initiated and revised on 4/20/24, did not include the physician's order for the offloading boots, and the CNA Kardex also lacked this information. Interviews with the resident and staff confirmed that the resident was unaware of the need for the boots, and the CNA assigned to the resident was not informed of the order. The MDS Coordinator acknowledged that the care plan and Kardex were not updated to reflect the physician's order, indicating a lapse in communication and documentation within the facility.
Failure to Maintain Resident's Personal Hygiene
Penalty
Summary
The facility failed to provide necessary care and services to maintain personal hygiene for a resident with multiple diagnoses, including major depressive disorder, type 2 diabetes mellitus, dementia, and mood disorder. The resident's care plan indicated a need for assistance with self-care activities such as bathing, dressing, personal hygiene, and oral care, with specific instructions to address the resident's resistance to hygiene care due to anxiety. Despite these documented needs, observations revealed that the resident had long, unkempt fingernails with a brown substance underneath, facial hair, and a strong body odor. The resident expressed a need for nail trimming and shaving, which had not been adequately addressed by the staff. Interviews with staff members revealed inconsistencies in the provision of care, with some staff unaware of who was responsible for nail care and others acknowledging that daily nail care and shaving were expected but not always realistic. The Director of Nursing and Unit Manager were not aware of the resident's hygiene issues, and there was no documentation of the resident refusing personal hygiene or care. The resident was observed wearing the same clothing on consecutive days, and her feet had a thick, yellow buildup, indicating a lack of proper hygiene maintenance.
Failure to Provide Dental Care for Resident with Severe Dental Issues
Penalty
Summary
The facility failed to provide or obtain necessary dental services for a resident with multiple broken and decayed teeth. The facility's policy, revised in January 2024, mandates assistance in obtaining routine and emergency dental care for residents. However, despite the resident's visible dental issues, there was no documentation of coordinated dental care arrangements in the resident's clinical record. The resident, who was admitted with dementia and had severely impaired cognition, was observed with jagged and decayed teeth, yet the initial assessments did not note any dental concerns. The care plan for the resident, initiated in April 2023 and revised in June and July 2024, identified the risk of oral discomfort due to dental caries and broken teeth. Despite this, the facility did not document any follow-up actions to address these issues. A social service progress note from August 2023 indicated an attempt to contact a dental office for services, but no further documentation was found. Interviews with the DON and Administrator confirmed the lack of action to address the resident's dental needs, acknowledging that these issues should have been identified and addressed upon admission.
Failure to Timely Disburse Resident Funds After Death
Penalty
Summary
The facility failed to ensure that within 30 days of discharge, eviction, or death, residents' personal funds and a final accounting were provided to the individual or probate jurisdiction administering the estate. This deficiency was identified for one resident who was discharged mid-month. The resident's son reported that his mother passed away on January 13, 2024, and he had not received a refund from the facility. Despite being informed by a corporate representative that the refund was approved, the check had not been issued. The facility's administrator confirmed that the account was closed on February 21, 2024, but the refund check was never mailed out due to an oversight by the third-party company responsible for disbursements.
Failure to Restart Medications for Resident Returning from Hospital
Penalty
Summary
The facility failed to ensure that Resident #1 received treatment and care in accordance with professional standards of practice after returning from the hospital. Resident #1's son reported that he did not believe his mother was receiving all her medications upon her return to the facility in January. Resident #1, who was a long-term care resident, had been sent to the hospital and returned to the facility on January 9, 2024. A physician's progress note on the same date indicated that the resident should continue with her medications, which included Gabapentin, Nitroglycerin, Breo Elipta, Ipratropium-Albuterol, Protonix, Tegretol, Carbidopa-Levadopa, Pramipexole Dihydrochloride, Amantadine, Trazadone, Tramadol, Paxil, Lasix, and Ativan. However, a review of the Medication Administration Record for January showed that these routine medications had not been restarted upon her return from the hospital. The Director of Nursing (DON), who was not employed at the facility during Resident #1's stay, reviewed the file and confirmed that the medications had been overlooked and not re-instated. The DON also spoke to the doctor, who mentioned that Resident #1 was going to transition to Hospice care but passed away before the hospice consult could occur. The failure to restart the resident's medications upon her return from the hospital constitutes a deficiency in providing care according to professional standards of practice.
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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 Sarasota
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Benderson Family Skilled Nursing And Rehab Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Harborview Sarasota | 1.3 mi | ★★★★★ | 15 | 0 |
| Hawthorne Center For Rehab & Healing Of Sarasota | 1.7 mi | ★★★★★ | 0 | 0 |
| Aviata At Beneva | 2.1 mi | ★★★★★ | 16 | 4 |
| Sunnyside Nursing Home | 2.3 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.