Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Wrights Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
Food Handling and Hand Hygiene Lapses During Meal Prep: Staff were observed handling raw meat and kitchen items without changing gloves, placing clean dishes near soiled dishes, and assembling resident trays while clothing strings touched food. Staff also served soup and vegetables without taking temperatures, did not consistently wear hair nets, and a CNA handled a food tray after putting a finger in her mouth without hand hygiene. Leadership acknowledged that food temperatures, glove changes, and hand hygiene were expected but were not consistently followed.
Incomplete PASRR Level I screenings were found for four residents with diagnoses including bipolar disorder, dementia, psychosis, PTSD, opioid dependence, depression, and neurocognitive disorder. The MDS nurse stated she did not consider bipolar disorder to be a serious mental illness and believed a Level II referral required ID or suspected ID to be selected. As a result, qualifying diagnoses were not checked on several Level I screens, and no Level II PASRR evaluations were submitted when they were indicated by the residents’ diagnoses.
The facility failed to develop and implement complete, person-centered care plans for two residents. One resident had PTSD and other psychiatric diagnoses, but the care plan did not address PTSD triggers or interventions despite records describing trauma-related symptoms and non-pharmacologic treatment focused on minimizing triggers. Another resident had post-fall wounds to the forehead and elbow that were observed uncovered, yet there were no wound care orders or care plan interventions for those injuries, and staff reported the resident often removed dressings.
A resident with severe cognitive impairment was physically abused by an agency CNA, resulting in injuries such as discoloration of the left eye and jaw, and a swollen forearm. The incident was witnessed by the staffing coordinator, who intervened and reported the abuse. The resident was transferred for further evaluation, and the facility's policies and staff training were reviewed.
Food Handling and Hand Hygiene Lapses During Meal Prep
Penalty
Summary
The facility failed to check food temperatures and failed to maintain proper hand hygiene and food handling practices during meal preparation and tray assembly. During observations, staff were seen preparing raw meat and handling a notebook without changing gloves, placing clean dishes near a three-compartment sink containing soiled dishes, and assembling resident trays while wearing clothing strings that touched resident food. Staff also placed microwaved soup and mixed vegetables onto resident trays without taking temperatures, and one bowl of mixed vegetables remained on the side of the grill for an extended period before being served. Additional observations showed staff entering the kitchen and not washing hands or donning hair nets, and a CNA putting a finger in her mouth, then handling a food tray and entering a resident room without hand hygiene. Kitchen temperature logs were not posted for one freezer and two refrigerators, and an undated block of cheese was found in a refrigerator. Staff interviews confirmed that soups were not always temped, gloves were not always changed after touching non-food items, and hand hygiene was expected before and after glove use. The Dietary Manager and other leadership staff acknowledged that food temperatures should be checked for each item and that hair nets and proper hand hygiene were expected in the kitchen. Facility policies reviewed stated that food items must be protected from contamination during preparation and service, that staff should wash hands before and after wearing or changing gloves, wear hair restraints when handling food, and take food temperatures prior to service and periodically during meal service. The pot and pan washing policy also stated that the second sink is not to be used to place dirty pots and pans. The observations and interviews showed these practices were not consistently followed during food preparation, tray assembly, and dish handling.
Incomplete PASRR Screenings for Multiple Residents
Penalty
Summary
The facility failed to ensure accurate PASRR Level I screenings were completed for four residents reviewed for PASRR. Review of the records showed that Resident #40 was admitted with diagnoses including bipolar disorder and dementia, but the Level I PASRR marked that a Level II evaluation was not required. During interview, the MDS nurse stated she did not consider bipolar disorder to be a serious mental illness and said she believed a Level II referral required selecting Intellectual Disability or suspected ID in Section B; she also acknowledged that the dementia question on Resident #40’s PASRR probably should have been answered yes. Resident #4 was admitted with diagnoses including parkinsonism, neurocognitive disorder with Lewy bodies, generalized anxiety disorder, depression, psychosis, major depressive disorder, and obsessive-compulsive disorder. The Level I PASRR dated 10/1/25 did not check the qualifying diagnoses, was incomplete, and no Level II was submitted after the qualifying diagnoses were present. During interview, the MDS nurse stated she did not consider the resident’s diagnoses to be serious mental illnesses and did not believe the resident met criteria for a PASRR Level II. Resident #34 was admitted and later readmitted with diagnoses including parkinsonism, major depressive disorder, insomnia, and bipolar disorder. The Level I PASRR dated 10/2/25 did not check the qualifying diagnoses, was incomplete, and no Level II was submitted. Resident #5 was admitted with diagnoses including parkinsonism, opioid dependence, anxiety, PTSD, psychosis, and major depressive disorder; the Level I PASRR dated 11/28/25 did not check substance abuse and did not list PTSD, leaving the screening incomplete and no Level II submitted. The facility policy required all applicants to be screened for serious mental disorders, intellectual disabilities, or related conditions, and stated that positive Level I screens require Level II evaluation prior to admission.
Incomplete Care Planning for PTSD and Wounds
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for two residents. For one resident, the admission record showed diagnoses including parkinsonism, opioid dependence, anxiety, PTSD, psychosis, and major depressive disorder. The resident’s care plan did not address the PTSD diagnosis, triggers, or interventions to decrease expressions or indications of distress, even though the record included psychiatric and psychology notes describing a history of significant trauma with nightmares, flashbacks, hypervigilance, and distress, and noting that non-pharmacological treatments were being tailored to minimize triggers and exacerbating factors. The resident’s MDS showed a BIMS score of 10, indicating moderate cognitive impairment, and PTSD was selected as an active diagnosis. The order summary included clonazepam for anxiety, sertraline for depression, and Wellbutrin XL for major depressive disorder. During interview, the MDS nurse said the resident denied having PTSD and did not know where the diagnosis came from, and the SSD said it was her role to initiate a PTSD care plan but did not think one was required for the resident. For the second resident, the admission and readmission records included diagnoses such as syncope and collapse, orthostatic hypotension, cerebral infarct, cerebral ischemia, gait and mobility abnormalities, need for assistance with personal care, and type 2 diabetes mellitus. After a fall, the resident sustained a laceration above the left eyebrow and a skin tear on the right elbow. The wounds were observed uncovered with swelling, bruising, drainage, and bleeding, yet the orders did not include wound care for either wound and the care plans did not include interventions for them. Staff stated the resident often removed dressings, and the DON later said she was not aware the wounds were uncovered because they were healed.
Resident Abuse by Agency CNA
Penalty
Summary
The facility failed to protect a resident from abuse by an agency staff member, resulting in physical injuries. The incident involved a physical altercation between an agency CNA and a resident, who suffered injuries including discoloration of the left eye and jaw, and a swollen right forearm. The resident, who has severe cognitive impairment due to dementia, was transferred to a higher level of care for evaluation and treatment following the altercation. The incident was witnessed by the staffing coordinator, who heard yelling and cursing from the resident's room. Upon entering, she observed the CNA involved in a physical and verbal altercation with the resident, who was naked and lying on his back. The CNA was seen shoving the resident's legs and arms, causing him to recoil. The staffing coordinator intervened, directing the CNA to leave the facility and summoning a nurse to evaluate the resident. The CNA had previously worked at the facility and had completed abuse and neglect training with an 88% passing rate. Interviews with staff and family members revealed that the resident was generally cooperative and not known to be resistive to care. The facility's Director of Nursing assessed the resident and noted the injuries, and the incident was reported to law enforcement and regulatory agencies. The facility's policies and procedures for abuse prevention and staff training were reviewed, highlighting a deficiency in ensuring the safety and protection of residents from abuse by staff members.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At Bryan Dairy | 1.9 mi | ★★★★★ | 4 | 4 |
| Palm Garden Of Largo | 2 mi | ★★★★★ | 2 | 0 |
| Palm Garden Of Pinellas | 2.1 mi | ★★★★★ | 2 | 0 |
| Freedom Square Health Care Center | 2.2 mi | ★★★★★ | 2 | 0 |
| Oak Manor Healthcare & Rehabilitation Center | 2.7 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.