Federal inspection record · CMS data as of October 1, 2026

Ocala Health And Rehabilitation Center

1201 Se 24th Rd, Ocala, FL · (352) 732-2449

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
180
Residents per day
167
Ownership
For-Profit
Chain
Nhs Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 21, 1977

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Florida homes

Ocala Health And Rehabilitation Center carries 37 inspection points. That is fewer than 52% of Florida's 691 rated homes.

5★4★3★2★1★+21 homes above 238.505102550100200inspection points → fewer is better on the leftThis home · 37 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–25 pts
  • 3★ 25–46 pts
  • 2★ 46–85 pts
  • 1★ over 85 pts

Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 3 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning7D
  1. D

    Ensure each resident receives an accurate assessment.

    September 18, 2025 · Standard · F641 · Corrected November 14, 2025

  2. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    September 18, 2025 · Standard · F644 · Corrected November 14, 2025

  3. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    September 18, 2025 · Standard · F645 · Corrected November 14, 2025

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 18, 2025 · Standard · F842 · Corrected November 14, 2025

  5. D

    Ensure each resident receives an accurate assessment.

    June 27, 2024 · Standard · F641 · Corrected July 31, 2024

  6. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    June 27, 2024 · Standard · F645 · Corrected July 31, 2024

  7. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    June 27, 2024 · Standard · F842 · Corrected July 31, 2024

Quality of Life and Care4E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 18, 2025 · Standard · F684 · Corrected November 14, 2025

  2. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    September 18, 2025 · Standard · F694 · Corrected November 14, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 27, 2024 · Standard · F684 · Corrected July 31, 2024

  4. E

    Provide safe and appropriate respiratory care for a resident when needed.

    February 16, 2023 · Standard · F695 · Corrected April 10, 2023

Nutrition and Dietary3F
  1. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    June 27, 2024 · Standard · F810 · Corrected July 31, 2024

  2. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 27, 2024 · Standard · F812 · Corrected July 31, 2024

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 16, 2023 · Standard · F812 · Corrected April 10, 2023

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    September 18, 2025 · Standard · F880 · Corrected November 14, 2025

  2. D

    Provide and implement an infection prevention and control program.

    June 27, 2024 · Standard · F880 · Corrected July 31, 2024

Nursing and Physician Services2D
  1. D

    Post nurse staffing information every day.

    September 18, 2025 · Standard · F732 · Corrected November 14, 2025

  2. C

    Post nurse staffing information every day.

    February 16, 2023 · Standard · F732 · Corrected April 10, 2023

Pharmacy Service2E
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 18, 2025 · Standard · F757 · Corrected November 14, 2025

  2. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    February 16, 2023 · Standard · F761 · Corrected April 10, 2023

Inspection history

  1. 2025-09-18

    9 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

  2. 2024-06-27

    7 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  3. 2023-02-16

    4 health deficiencies · 7 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 52 min of nursing staff time a day, 22 min of it from a registered nurse.

This home

3 h 52 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 33% of nursing staff and 33% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better1.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better0.21.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts better99.8%98.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better100.0%99.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse2.7%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms5.2 pts better0.2%5.4%13.5%
Percentage of long-stay residents who lose too much weight0.6 pts better4.9%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better10.2%13.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.9 pts better2.8%8.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.1 pts worse8.5%8.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse10.0%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts worse1.0%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better6.0%9.5%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better3.5%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better99.4%95.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts better4.4%8.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better0.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.1 pts better99.4%96.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.9 pts better14.9%25.8%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Estes, James5% Or Greater Direct Ownership Interest · Individual68%43 facilities
James N Estes Jr Family Dynasty Tr No 25% Or Greater Direct Ownership Interest · Organization10%24 facilities
Jennifer E Agee Family Dynasty Tr No 25% Or Greater Direct Ownership Interest · Organization10%24 facilities
James Norman Estes Jr Tr5% Or Greater Direct Ownership Interest · Organization6%40 facilities
Jennifer Lee Estes Tr 0310935% Or Greater Direct Ownership Interest · Organization6%40 facilities
Estes, JamesCorporate Officer · Individual0%43 facilities
Long, PhillipCorporate Officer · Individual0%44 facilities
Mcvea, CheriCorporate Director · Individual0%5 facilities
Mcvea, CheriOperational/Managerial Control · Individual0%5 facilities
Page, RichardW-2 Managing Employee · Individual0%3 facilities
Page, RichardOperational/Managerial Control · Individual0%3 facilities
Rasco, LynnCorporate Director · Individual0%43 facilities
Rasco, LynnOperational/Managerial Control · Individual0%43 facilities
Regions Bank5% Or Greater Security Interest · Organization0%51 facilities
Schneider, JulieCorporate Director · Individual0%5 facilities
Schneider, JulieOperational/Managerial Control · Individual0%5 facilities
Toney, DarinCorporate Director · Individual0%5 facilities
Toney, DarinOperational/Managerial Control · Individual0%5 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness4F
  1. F

    Provide primary/alternate means for communication.

    February 16, 2023 · E32 · Corrected April 10, 2023

  2. F

    Establish methods for sharing information.

    February 16, 2023 · E33 · Corrected April 10, 2023

  3. F

    Provide a means of sharing information on occupancy/needs.

    February 16, 2023 · E34 · Corrected April 10, 2023

  4. F

    Provide family notifications of emergency plan.

    February 16, 2023 · E35 · Corrected April 10, 2023

Gas, Vacuum, and Electrical Systems2D
  1. D

    Have generator or other power source capable of supplying service within 10 seconds.

    September 18, 2025 · K918 · Corrected November 14, 2025

  2. D

    Have proper medical gas storage and administration areas.

    February 16, 2023 · K923 · Corrected April 10, 2023

Smoke2E
  1. E

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

    February 16, 2023 · K355 · Corrected April 10, 2023

  2. E

    Install properly constructed windows in hallway walls or doors.

    February 16, 2023 · K364 · Corrected April 10, 2023

·

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