Below average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Vivo Healthcare St Petersburg during CMS and state inspections, most recent first.
Two residents with multiple diagnoses experienced falls, but their care plans were not updated with necessary interventions until weeks later. The DON confirmed that the care plans should have been revised to guide staff in preventing further falls and injuries.
Two residents at high risk for falls experienced multiple incidents due to inadequate supervision and failure to update care plans with necessary interventions. One resident suffered a clavicle fracture and another sustained a subarachnoid bleed and facial trauma. Despite being identified as high fall risks, both residents were left unsupervised, and their care plans were not updated to prevent further falls.
The facility failed to ensure accurate and developed care plans for two residents, leading to deficiencies in their care. One resident was found on the floor, and the incident was not reported or reflected in the care plan. Another resident experienced an incident, but the care plan was not updated with necessary interventions. The DON confirmed that care plans are essential for staff to know the residents' care plans, but no interventions were implemented after the incidents.
The facility failed to provide adequate supervision for two residents, resulting in accidents. A resident with reduced mobility was found on the floor and later hospitalized, while another high-risk resident was left unsupervised in common areas and next to her bed. The lack of supervision and failure to implement necessary interventions contributed to these incidents.
A resident with cognitive impairment disclosed to a nurse that a CNA had grabbed her arms and hurt her. The nurse did not report the allegation immediately, waiting until she personally witnessed the abuse later that day. This delay was against the facility's policy, which mandates immediate reporting of abuse allegations.
Failure to Update Care Plans After Resident Falls
Penalty
Summary
The facility failed to ensure accurate and updated care plans for two residents, leading to deficiencies in their care. Resident #2, who had multiple diagnoses including senile degeneration of the brain and heart failure, was found with bruising and a right clavicle fracture after a fall that was not reported by a staff member. Despite the fall occurring on 01/15/25, no interventions were added to her care plan until 02/10/25, and the care plan was not updated to reflect necessary fall interventions. The Director of Nursing confirmed that the care plan should have been updated to guide staff in the resident's care. Similarly, Resident #3, with diagnoses including hereditary ataxia and Parkinson's disease, experienced falls on 01/08/25 and 01/16/25. However, no interventions were added to the care plan following these incidents until 02/13/25. The Director of Nursing acknowledged that interventions were supposed to be implemented after each fall but were not documented in the care plan until much later. This lack of timely updates to the care plans resulted in a failure to provide adequate guidance to staff for preventing further falls and injuries.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance. 1. On Residents #2 and #3 had a resident centered comprehensive care plan updated to reflect changes identified related to interventions. 2. A quality review of current residents comprehensive care plans was completed by MDS Director/designee to ensure comprehensive care plans are developed and implemented regarding interventions. Issues or concerns were addressed as they were identified. 3. All Interdisciplinary care plan team members responsible for writing care plans re-educated on the facility's policy and procedure for developing Comprehensive Care plans: Development and Implementation of a new intervention for each and review of interventions for appropriacy. Direct care staff re-educated on Kardex review for interventions and reporting non-compliance and/or ineffectiveness of interventions. 4. DON/Designee will review new admission records for initiation of Baseline Care Plan five times a week X 3 months. DON/Designee will review resident records for documentation to include, Change in Condition, MD Notification, Responsible Party Notification, Care Plan Update with intervention and placement on Kardex five times a week X 6 weeks; three times a week X 4 weeks, twice a week X 2 weeks, then weekly and PRN as indicated. MDS Coordinator will review care plans weekly in accordance with care plan review schedule. All care plans will be updated as indicated X 3 months. Audit results will be reviewed by the QAPI Committee until such time consistent substantial compliance has been achieved.
Inadequate Supervision Leads to Multiple Falls in High-Risk Residents
Penalty
Summary
The facility failed to provide adequate supervision for two residents who were at high risk for falls, leading to multiple incidents. Resident #2, who had a history of senile degeneration of the brain, major depressive disorder, and reduced mobility, was found with bruising and a clavicle fracture after a fall that was not reported by a staff member. Despite being identified as a high fall risk, no interventions were implemented after the first fall, and the care plan was not updated to reflect necessary fall prevention measures. This lack of action resulted in another fall where the resident was found on the floor, requiring assistance from multiple staff members to return to bed. Resident #3, diagnosed with hereditary ataxia, cerebral palsy, and dementia, also experienced multiple falls. After being found on the floor on two separate occasions, the resident suffered significant injuries, including a subarachnoid bleed and facial trauma. Despite being a high fall risk, the resident was left unsupervised in common areas and in her room, contrary to the facility's policy that required supervision for residents with a high fall risk score. The care plan was not updated with appropriate interventions after each fall, contributing to the repeated incidents.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility is credible allegation of compliance. 1. Risk evaluations completed for Resident #2 and Resident #3. Appropriate revisions were made to the care plans to reflect all current interventions. 2. Risk Evaluation completed for all residents currently residing in the facility by Care plans reviewed and revised as indicated for residents identified as at risk for to make certain interventions are documented for each and are reflected on the Kardex. 3. Regional Director of Clinical Services/Designee educated staff on Accidents and Supervision policy; Prevention in Long Term Care; and Resident Rights with emphasis on the development and implementation of a person-centered care plan. Licensed staff educated on Prevention Program and reviewing the Kardex for interventions. 4. Director of Clinical Services (Nursing)/Designee will review new admission records for initiation of Baseline Care Plan to make certain those identified to be at risk for have interventions/safety measures, five times a week x 4 weeks and once weekly x 8 weeks, then as needed as indicated. Director of Clinical Services/Designee will review records of residents who sustain to make certain documentation includes Change in Condition, Physician Notification, Responsible Party Notification, Care Plan Update with intervention and placement on Kardex five times a week X 2 weeks; three times a week X 4 weeks, twice a week X 2 weeks, then weekly x 4 weeks, and as needed as indicated. The findings of these quality reviews are to be reported to the Quality Assurance/Performance Improvement Committee monthly x 3 months, or until committee determines substantial compliance.
Deficiencies in Care Plan Development and Accuracy
Penalty
Summary
The facility failed to ensure accurate and developed care plans for two residents, leading to deficiencies in their care. Resident #2 was admitted with diagnoses including generalized wasting and reduced mobility. The resident was found on the floor by a staff member, who failed to report the incident. The care plan for Resident #2, which should have been updated to reflect necessary interventions after the incident, was not revised. The Director of Nursing (DON) confirmed that the care plan was essential for staff to know the resident's plan of care, but no interventions were put in place after the incident. Resident #3, admitted with ataxia and reduced mobility, also had deficiencies in their care plan. The resident experienced an incident, but the care plan was not updated with interventions to address the situation. The DON stated that interventions were supposed to include keeping the resident in the common area while awake and ensuring personal items were within reach. However, these interventions were not implemented in the care plan after the incidents, leading to a lack of proper care management for the resident.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance. 1. Residents #2 and #3 had a resident centered comprehensive care plan updated to reflect changes identified related to interventions. 2. A quality review of current residents comprehensive care plans was completed by Care Plan Coordinator/Designee to ensure comprehensive care plans are developed and implemented regarding interventions. Issues or concerns, if any, were addressed as they were identified. 3. All Interdisciplinary care plan team members responsible for writing care plans re-educated on the facility's policy and procedure for developing Comprehensive Care plans; Development and Implementation of a new intervention for each, and review of interventions for appropriacy. Direct care staff re-educated on Kardex review for interventions and reporting non-compliance and/or ineffectiveness of interventions. 4. Director of Clinical Services (Nursing)/Designee will review new admission records for initiation of Baseline Care Plan to make certain those identified to be at risk for have interventions/safety measures, five times a week x 4 weeks and once weekly x 8 weeks, then as needed as indicated. Director of Clinical Services/Designee will review records of residents who sustain to make certain documentation includes Change in Condition, Physician Notification, Responsible Party Notification, Care Plan Update with intervention and placement on Kardex five times a week X 2 weeks, three times a week X 4 weeks, twice a week X 2 weeks, and then weekly x 4 weeks, and as needed as indicated. Care Plan Coordinator will review care plans weekly in accordance with care plan review schedule. All care plans will be updated as indicated. The findings of these quality reviews are to be reported to the Quality Assurance/Performance Improvement Committee monthly x 3 months, or until committee determines substantial compliance.
Inadequate Supervision Leads to Resident Accidents
Penalty
Summary
The facility failed to provide adequate supervision for two residents, leading to accidents. Resident #2, who was admitted with diagnoses including major generalized wasting and reduced mobility, was found on the floor beside her bed by a staff member who failed to report the incident. The resident was later sent to the hospital for evaluation and was found to have sustained injuries. A risk evaluation indicated that Resident #2 was at high risk, yet the necessary supervision and interventions were not adequately implemented. Resident #3 was also found lying on the floor next to her bed in an unwitnessed incident. Despite being identified as high risk, the resident was left unsupervised in the common area and in her wheelchair next to her bed. The Director of Nursing acknowledged that residents with a high-risk score should be supervised while in common areas, but no interventions were put in place on the care plan after the incidents. This lack of supervision and failure to implement necessary interventions contributed to the accidents involving both residents.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance. 1. Risk evaluations completed for Resident #2 and Resident #3. Appropriate revisions were made to the care plans to reflect all current interventions. 2. Risk Evaluation completed for all residents currently residing in the facility by Care plans reviewed and revised as indicated for residents identified as at risk for to make certain interventions are documented for each and are reflected on the Kardex. 3. Regional Director of Clinical Services/Designee educated staff on Accidents and Supervision policy: Prevention in Long Term Care; and Resident Rights with emphasis on the development and implementation of a person-centered care plan. Licensed staff educated on Prevention Program and reviewing the Kardex for interventions. 4. Director of Clinical Services (Nursing)/Designee will review new admission records for initiation of Baseline Care Plan to make certain those identified to be at risk for have interventions/safety measures, five times a week x 4 weeks and once weekly x 8 weeks, then as needed as indicated. Director of Clinical Services/Designee will review records of residents who sustain to make certain documentation includes Change in Condition, Physician Notification, Responsible Party Notification, Care Plan Update with intervention and placement on Kardex five times a week x 2 weeks; three times a week x 8 weeks.
Failure to Immediately Report Allegation of Abuse
Penalty
Summary
The facility failed to immediately report an allegation of abuse upon resident disclosure for a resident with cognitive impairment and dementia. Resident #2, who had a BIMS score of 07 indicating cognitive impairment, disclosed to Staff S RN that Staff L CNA had grabbed her arms and hurt her. Despite this disclosure, Staff S RN did not report the allegation immediately, as required by the facility's policy. Instead, Staff S RN waited until she personally witnessed Staff L CNA grabbing Resident #2's wrist and verbally abusing her later that day before reporting the incident to the Nurse Supervisor. This delay in reporting was against the facility's policy, which mandates immediate reporting of any abuse allegations. The Director of Nursing (DON) confirmed that the incident occurred over a weekend and acknowledged that the allegation should have been reported immediately upon disclosure by Resident #2. The DON stated that the facility's policy does not require staff to wait for personal observation of abuse before reporting it. The failure to report the abuse allegation immediately resulted in a delay in suspending Staff L CNA and initiating an investigation. The facility's policy on Abuse Investigation and Reporting, revised in July 2017, clearly states that all reports of resident abuse must be promptly reported to local, state, and federal agencies and thoroughly investigated by the facility.
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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 Saint Petersburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Abbey Rehabilitation And Nursing Center | 0.4 mi | ★★★★★ | 16 | 0 |
| Aventura At The Bay | 2.1 mi | — | 47 | 0 |
| Brighton Bay Center For Rehabilitation And Healing | 2.2 mi | ★★★★★ | 0 | 0 |
| Laurellwood Post- Acute And Rehabilitation Center | 2.3 mi | ★★★★★ | 9 | 0 |
| Shore Acres Care Center And Rehab | 2.8 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.