Cycle 1
Health 2024-04-18 · Fire 2024-04-18
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Sarasota, FL
Bay Village Of Sarasota
2-star overall rating with 3-star inspections with 5 recent health deficiencies
8400 Vamo Road, Sarasota, FL
(941) 966-5611
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
95
Certified beds
Average residents
55
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-08-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
1,368
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.17
Composite VBP score used to determine payment impact.
Payment multiplier
1.0123
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 16.56% · Performance 21.27% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.21
Baseline 5.05% · Performance 5.98% · Measure score 6.21 · Achievement 6.21 · Improvement 0
Total nurse turnover
6.66
Baseline 48.05% · Performance 36.46% · Measure score 6.66 · Achievement 6.66 · Improvement 4.50
Adjusted total nurse staffing
10
Baseline 5.53 hours · Performance 7.10 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.12% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 406 · Observed rate 8.37% · Lower 95% interval 7.54% |
| Discharge to community | 53.76% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 383 · Observed rate 54.05% · Lower 95% interval 49.63% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.05% |
95.27%
0.8 pts better
|
Numerator 219 · Denominator 228 |
| Falls with major injury | 0.44% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 228 |
| Discharge self-care score | 63.58% |
53.69%
9.9 pts better
|
Numerator 103 · Denominator 162 |
| Discharge mobility score | 32.72% |
50.94%
18.2 pts worse
|
Numerator 53 · Denominator 162 |
| Pressure ulcers or injuries, new or worsened | 0.88% |
2.29%
1.4 pts better
|
Numerator 2 · Denominator 228 · Adjusted rate 0.88% |
| Healthcare-associated infections requiring hospitalization | 5.98% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 238 · Observed rate 3.36% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 2.47% |
8.2%
5.7 pts worse
|
Numerator 4 · Denominator 162 |
| Staff flu vaccination coverage | 19.8% |
42%
22.2 pts worse
|
Numerator 20 · Denominator 101 |
| Discharge function score | 63.58% |
56.45%
7.1 pts better
|
Numerator 103 · Denominator 162 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 58 · Denominator 58 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 141 · Denominator 141 |
| Resident COVID-19 vaccinations up to date | 54.46% |
25.2%
29.3 pts better
|
Numerator 61 · Denominator 112 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.1
0.1 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
97.8%
0.9 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
2.6%
1.9 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
3.7%
3 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 2.4% |
5.9%
3.5 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 3.4% · Q4 0.0% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.8% |
15.7%
5.9 pts better
|
19.6%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 8.3% · Q3 9.4% · Q4 15.6% · 4Q avg 9.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.8% |
9.8%
3 pts better
|
16.7%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 13.3% · Q3 3.7% · Q4 3.2% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.4% |
11.7%
8.7 pts worse
|
16.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.3% |
9.8%
2.5 pts worse
|
14.9%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 20.0% · Q3 11.5% · Q4 13.8% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.2% |
0.8%
3.4 pts worse
|
1.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 6.2% · Q4 5.6% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.0% |
12.5%
20.5 pts worse
|
19.8%
13.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 36.6% · Q3 18.4% · Q4 36.5% · 4Q avg 33.0% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
5.1%
1 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 10.1% · Q3 3.1% · Q4 4.8% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
94.3%
1.3 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.4% · Q2 92.9% · Q3 99.2% · Q4 98.4% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
9.3%
2.1 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 5.9% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.5%
1.2 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.9% · Q3 2.4% · Q4 1.2% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.2% |
94.7%
7.5 pts worse
|
79.7%
7.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
26.2%
1.1 pts better
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 18.7% · Expected 17.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-23 · Fire 2022-06-23
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2020-12-17 · Fire 2020-12-17
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
11 fire-safety deficiencies
Top issue: Egress (5 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-06-23
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-07-23
F · Potential for more than minimal harm
2022-06-23
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-07-23
F · Potential for more than minimal harm
2022-06-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-22
F · Potential for more than minimal harm
2022-06-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-23
D · Potential for more than minimal harm
2022-06-23
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-07-23
D · Potential for more than minimal harm
2022-06-23
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-23
F · Potential for more than minimal harm
2020-12-17
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2021-01-17
F · Potential for more than minimal harm
2020-12-17
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-01-17
F · Potential for more than minimal harm
2020-12-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-01-17
F · Potential for more than minimal harm
2020-12-17
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2021-01-17
F · Potential for more than minimal harm
2020-12-17
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-01-17
F · Potential for more than minimal harm
2020-12-17
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-01-17
E · Potential for more than minimal harm
2020-12-17
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-01-17
E · Potential for more than minimal harm
2020-12-17
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-01-17
D · Potential for more than minimal harm
2020-12-17
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-01-17
D · Potential for more than minimal harm
2020-12-17
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2021-01-17
D · Potential for more than minimal harm
2020-12-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-01-17
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-04-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-18
E · Potential for more than minimal harm
2024-04-18
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-18
E · Potential for more than minimal harm
2024-04-18
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-18
D · Potential for more than minimal harm
2024-04-18
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-18
D · Potential for more than minimal harm
2024-04-18
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-18
D · Potential for more than minimal harm
2024-04-18
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-05-18
E · Potential for more than minimal harm
2022-06-23
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2022-07-23
D · Potential for more than minimal harm
2022-06-23
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-07-23
D · Potential for more than minimal harm
2022-06-23
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-07-23
D · Potential for more than minimal harm
2022-06-23
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-07-23
D · Potential for more than minimal harm
2020-12-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-01-17
Penalties and ownership
What sits behind the stars
Ownership
Caughron, Diana
Operational/Managerial Control · Individual
Combs, Thomas
Corporate Officer · Individual
Goodrich, Donald
Corporate Officer · Individual
Grimes, Jennifer
Operational/Managerial Control · Individual
Grimes, Jennifer
Corporate Director · Individual
Howe, Thomas
Corporate Officer · Individual
Jones, Timothy
Operational/Managerial Control · Individual
Junkins, Kathleen
Corporate Officer · Individual
Lunsford, Marvin
Operational/Managerial Control · Individual
Nichols, Eric
Corporate Director · Individual
Olwert, Andrew
Corporate Officer · Individual
Penn, John
Corporate Officer · Individual
Pitcher, Laura
Operational/Managerial Control · Individual
Robinson, Abigail
Corporate Officer · Individual
Roth, Kimberly
Operational/Managerial Control · Individual
Seeger, Sally
Corporate Officer · Individual
Sherwood, Robert
Corporate Officer · Individual
Snyder, Donald
Corporate Officer · Individual
Stein, Barry
Operational/Managerial Control · Individual
Taylor, Thomas
Corporate Officer · Individual
Williams, Ashley
Operational/Managerial Control · Individual
Wizba, Christina
Operational/Managerial Control · Individual
Wizba, Christina
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Springs At Lake Pointe Woods
Sarasota, FL
2-star overall rating with 1-star inspections with abuse icon flag with $51,671 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Brookdale Palmer Ranch SNF
Sarasota, FL
2-star overall rating with 2-star inspections with abuse icon flag with $83,655 in total fines with 5 recent health deficiencies
#3
Glenridge On Palmer Ranch Inc.
Sarasota, FL
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
Jump out