Panama City, FL

Clifford Chester Sims State Veterans Nursing Home

5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle

4419 Tram Road, Panama City, FL

(850) 747-5401

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

116

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Florida Department Of Veterans' Affairs

Operator or chain grouping

Approved since

2003-11-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 4 staffing / 2 quality stars

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

0.91

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

1.16

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.96

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

5.03

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

2.07

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

4.63

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

5.69

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

601

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

66.73

Composite VBP score used to determine payment impact.

Payment multiplier

1.0205

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.35

Performance 50.00% · Measure score 3.35 · Achievement 3.35 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

10

Baseline 6.47 hours · Performance 6.36 hours · Measure score 10 · Achievement 10 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.94%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 18.92% · Lower 95% interval 7.9%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 163
Staff flu vaccination coverage	31.51%	42% 10.5 pts worse	Numerator 46 · Denominator 146
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.1 0.2 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	1.2 1.2 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.3%	97.8% 7.5 pts worse	93.4% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 97.4% · Q3 80.9% · Q4 87.0% · 4Q avg 90.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	99.2% 1.7 pts worse	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	2.6% 0.6 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.9% · Q3 2.6% · Q4 1.7% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	3.7% 3.7 pts better	11.4% 11.4 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 who lose too much weight	7.2%	5.9% 1.3 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.3% · Q3 8.5% · Q4 8.1% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.1%	15.7% 3.6 pts better	19.6% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 11.8% · Q3 12.6% · Q4 10.5% · 4Q avg 12.1%
Percentage of long-stay residents who received an antipsychotic medication	9.6%	9.8% 0.2 pts better	16.7% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 12.8% · Q3 8.1% · Q4 5.4% · 4Q avg 9.6% · 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	18.7%	11.7% 7 pts worse	16.3% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 23.6% · Q3 18.6% · Q4 11.7% · 4Q avg 18.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.4%	9.8% 18.6 pts worse	14.9% 13.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 28.0% · Q3 29.8% · Q4 31.6% · 4Q avg 28.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.6%	0.4% 1.2 pts worse	1.0% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.2% · Q3 0.0% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.5%	0.8% 4.7 pts worse	1.7% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.3% · Q3 2.6% · Q4 6.1% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.7%	12.5% 9.2 pts worse	19.8% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 18.6% · Q3 21.2% · Q4 23.0% · 4Q avg 21.7%
Percentage of long-stay residents with pressure ulcers	3.8%	5.1% 1.3 pts better	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.0% · Q3 4.3% · Q4 4.2% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.8%	94.3% 2.5 pts worse	81.7% 10.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.3% · 4Q avg 91.8%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-01 · Fire 2024-02-01

2 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-09-15 · Fire 2022-09-15

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-03

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-06-07

D · Potential for more than minimal harm 2025-04-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-07

F · Potential for more than minimal harm 2022-09-15

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-10-10

D · Potential for more than minimal harm 2022-09-15

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 2022-10-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-02-01

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-01