24 health deficiencies
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Pensacola, FL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with 24 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
600 W Gregory St, Pensacola, FL
(850) 437-3131
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
210
Certified beds
Average residents
193
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-04-11
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
RN hours / resident day
0.55
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.85
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
4.28
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
11,956
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.53
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 16.16% · Performance 23.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.50% · Performance 9.62% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.87
Baseline 77.25% · Performance 54.35% · Measure score 3.87 · Achievement 2.28 · Improvement 3.87
Adjusted total nurse staffing
1.94
Baseline 4.32 hours · Performance 3.63 hours · Measure score 1.94 · Achievement 1.94 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.4% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 13.79% · Lower 95% interval 7.38% |
| Discharge to community | 37.75% |
50.57%
12.8 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 27.27% · Lower 95% interval 26.6% |
| Medicare spending per beneficiary | 1.48 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 99.36% |
95.27%
4.1 pts better
|
Numerator 155 · Denominator 156 |
| Falls with major injury | 0.64% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 156 |
| Discharge self-care score | 59.21% |
53.69%
5.5 pts better
|
Numerator 45 · Denominator 76 |
| Discharge mobility score | 59.21% |
50.94%
8.3 pts better
|
Numerator 45 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 1.28% |
2.29%
1 pts better
|
Numerator 2 · Denominator 156 · Adjusted rate 1.2% |
| Healthcare-associated infections requiring hospitalization | 9.62% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 14.47% · Lower 95% interval 6.02% |
| Staff COVID-19 vaccination coverage | 0.51% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 195 |
| Staff flu vaccination coverage | 17.73% |
42%
24.3 pts worse
|
Numerator 25 · Denominator 141 |
| Discharge function score | 63.16% |
56.45%
6.7 pts better
|
Numerator 48 · Denominator 76 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 80 · Denominator 80 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 80 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.1
1.2 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.6 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.5 |
1.2
2.3 pts worse
|
1.8
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 3.1% |
2.6%
0.5 pts worse
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.2% · Q3 3.3% · Q4 2.2% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 25.9% |
3.7%
22.2 pts worse
|
11.4%
14.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 31.4% · Q3 24.9% · Q4 25.7% · 4Q avg 25.9% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
5.9%
3.4 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 6.8% · Q3 9.2% · Q4 5.6% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.5% |
15.7%
4.2 pts better
|
19.6%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 12.7% · Q3 8.9% · Q4 9.8% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.6% |
9.8%
1.2 pts better
|
16.7%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.0% · Q3 9.4% · Q4 9.4% · 4Q avg 8.6% · 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 | 4.8% |
11.7%
6.9 pts better
|
16.3%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.7% · Q3 5.6% · Q4 4.3% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.6% |
9.8%
3.2 pts better
|
14.9%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 5.1% · Q3 5.6% · Q4 8.5% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.4%
0.2 pts worse
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.5% · Q4 1.4% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 18.3% |
12.5%
5.8 pts worse
|
19.8%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 26.8% · Q3 14.3% · Q4 19.7% · 4Q avg 18.3% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
5.1%
1.3 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.8% · Q3 4.6% · Q4 6.7% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 33.6% |
9.3%
24.3 pts worse
|
12.0%
21.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.6% · Observed 38.3% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
1.5%
2.3 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.1% · Q3 3.9% · Q4 2.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.7%
5.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.9% |
26.2%
7.7 pts worse
|
23.9%
10 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.9% · Observed 38.3% · Expected 26.9% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Environmental (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Not marked corrected
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-29
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2024-10-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-29
Inspection history
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Not marked corrected
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Not marked corrected
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Not marked corrected
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Not marked corrected
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Not marked corrected
Health
Keep all essential equipment working safely.
Not marked corrected
Health
Provide and implement an infection prevention and control program.
Not marked corrected
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Not marked corrected
Health
Keep residents' personal and medical records private and confidential.
Not marked corrected
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.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
Health
Respond appropriately to all alleged violations.
Not marked corrected
Health
Ensure each resident receives an accurate assessment.
Not marked corrected
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Not marked corrected
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Not marked corrected
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Not marked corrected
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Not marked corrected
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Not marked corrected
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Not marked corrected
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Not marked corrected
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-08
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-10-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-11
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-11
Health
Dispose of garbage and refuse properly.
Corrected 2024-10-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-11
Health
Provide enough space and equipment to meet each resident's needs
Corrected 2023-12-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-28
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-06-28
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
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4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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4-star overall rating with 4-star inspections with 2 recent health deficiencies
Pensacola, FL
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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