5 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Lecanto, FL
5-star overall rating with 4-star inspections with $125,040 in total fines with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3325 W Jerwayne Ln, Lecanto, FL
(352) 746-4434
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1994-11-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
RN hours / resident day
0.38
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.38
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
0.41
CMS adjusted RN staffing hours
Adjusted total hours
4.08
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
11,381
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 23.22% · Performance 24.16% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.80% · Performance 9.10% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.95
Baseline 32.29% · Performance 47.54% · Measure score 3.95 · Achievement 3.95 · Improvement 0
Adjusted total nurse staffing
2.84
Baseline 3.94 hours · Performance 3.89 hours · Measure score 2.84 · Achievement 2.84 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.26% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 246 · Observed rate 11.38% · Lower 95% interval 8.37% |
| Discharge to community | 55% |
50.57%
4.4 pts better
|
No Different than the National Rate · Eligible stays 223 · Observed rate 47.53% · Lower 95% interval 46.97% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 144 · Denominator 144 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 144 |
| Discharge self-care score | 67.06% |
53.69%
13.4 pts better
|
Numerator 57 · Denominator 85 |
| Discharge mobility score | 63.53% |
50.94%
12.6 pts better
|
Numerator 54 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 1.39% |
2.29%
0.9 pts better
|
Numerator 2 · Denominator 144 · Adjusted rate 1.4% |
| Healthcare-associated infections requiring hospitalization | 9.1% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 166 · Observed rate 10.24% · Lower 95% interval 5.92% |
| Staff COVID-19 vaccination coverage | 0.7% |
8.2%
7.5 pts worse
|
Numerator 2 · Denominator 287 |
| Staff flu vaccination coverage | 11.97% |
42%
30 pts worse
|
Numerator 34 · Denominator 284 |
| Discharge function score | 83.53% |
56.45%
27.1 pts better
|
Numerator 71 · Denominator 85 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 48 · Denominator 48 |
| Transfer of health information to patient | 98.21% |
96.28%
1.9 pts better
|
Numerator 55 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 40.68% |
25.2%
15.5 pts better
|
Numerator 24 · Denominator 59 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
2.1
1.3 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.0 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.2
0.5 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
97.8%
1.7 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| 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 | 2.2% |
2.6%
0.4 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.9% · Q3 2.0% · Q4 2.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.9% |
3.7%
0.2 pts worse
|
11.4%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.0% · Q3 4.4% · Q4 5.1% · 4Q avg 3.9% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
5.9%
3.3 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.9% · Q3 3.9% · Q4 1.4% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
15.7%
5.8 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 9.8% · Q3 13.0% · Q4 11.1% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.9% |
9.8%
5.9 pts better
|
16.7%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.4% · Q3 5.6% · Q4 1.5% · 4Q avg 3.9% · 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 | 4.9% |
11.7%
6.8 pts better
|
16.3%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 8.0% · Q3 0.0% · Q4 9.2% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.3% |
9.8%
3.5 pts better
|
14.9%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 5.1% · Q3 4.1% · Q4 7.2% · 4Q avg 6.3% · 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 | 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 | 11.1% |
12.5%
1.4 pts better
|
19.8%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 13.7% · Q3 2.0% · Q4 5.5% · 4Q avg 11.1% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
5.1%
1.6 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.0% · Q3 2.4% · Q4 2.6% · 4Q avg 3.5% · 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 94.4% · Q2 93.5% · Q3 96.6% · Q4 99.0% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
9.3%
4.2 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 5.1% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.4% · Q3 2.5% · Q4 1.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.7% |
94.7%
2 pts better
|
79.7%
17 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.1% |
26.2%
3.9 pts worse
|
23.9%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.1% · Observed 34.2% · Expected 27.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Administration (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Not marked corrected
Fire Safety
Conduct testing and exercise requirements.
Not marked corrected
Fire Safety
Meet other general requirements.
Not marked corrected
Fire Safety
Install corridor and hallway doors that block smoke.
Not marked corrected
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Not marked corrected
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-06-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-24
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
Health
Ensure each resident receives an accurate assessment.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Not marked corrected
Health
Provide and implement an infection prevention and control program.
Not marked corrected
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-11
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-06-11
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-06-11
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-11
Penalties and ownership
Fine · fine $125,040
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
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