Sarasota, FL

Plymouth Harbor Incorporated

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

700 John Ringling Blvd, Sarasota, FL

(941) 365-2600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

56

Certified beds

Average residents

32

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-06-22

CMS approved date

Coverage

Medicare

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

1.34

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

1.11

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

3.36

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

5.81

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

2.44

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

5.02

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.81

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.26

CMS adjusted RN staffing hours

Adjusted total hours

5.49

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,059

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

Performance score

27.95

Composite VBP score used to determine payment impact.

Payment multiplier

0.9848

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 17.78% · Performance 24.31% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 6.76% · Performance 7.89% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.67

Baseline 42.22% · Performance 52.78% · Measure score 2.67 · Achievement 2.67 · Improvement 0

Adjusted total nurse staffing

8.51

Baseline 5.67 hours · Performance 5.5 hours · Measure score 8.51 · Achievement 8.51 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 8.95%
10.72%
1.8 pts better
No Different than the National Rate · Eligible stays 372 · Observed rate 6.18% · Lower 95% interval 6.91%
Discharge to community 67.67%
50.57%
17.1 pts better
Better than the National Rate · Eligible stays 364 · Observed rate 65.38% · Lower 95% interval 62.64%
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 199 · Denominator 199
Falls with major injury 2.01%
0.77%
1.2 pts worse
Numerator 4 · Denominator 199
Discharge self-care score 72%
53.69%
18.3 pts better
Numerator 90 · Denominator 125
Discharge mobility score 42.4%
50.94%
8.5 pts worse
Numerator 53 · Denominator 125
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 199 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.89%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 238 · Observed rate 7.14% · Lower 95% interval 5.62%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 78
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 88
Discharge function score 59.2%
56.45%
2.8 pts better
Numerator 74 · Denominator 125
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 52 · Denominator 52
Transfer of health information to patient 92.56%
96.28%
3.7 pts worse
Numerator 112 · Denominator 121
Resident COVID-19 vaccinations up to date 34.41%
25.2%
9.2 pts better
Numerator 32 · Denominator 93

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
2.1
1 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 2.1 · Expected 3.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.2
0.6 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.8 · Expected 2.3 · 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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 3.2%
2.6%
0.6 pts worse
3.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.7%
3.7%
About the same
11.4%
7.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.7%
Percentage of long-stay residents who lose too much weight 7.4%
5.9%
1.5 pts worse
5.4%
2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.6%
15.7%
1.9 pts worse
19.6%
2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.6%
Percentage of long-stay residents who received an antipsychotic medication 14.8%
9.8%
5 pts worse
16.7%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.8% · 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 · 4Q avg 0.0%
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1%
0.4%
1.7 pts worse
1.0%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.0%
0.8%
1.2 pts worse
1.7%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.5%
12.5%
1 pts worse
19.8%
6.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.5%
Percentage of long-stay residents with pressure ulcers 0.0%
5.1%
5.1 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 9.2%
9.3%
0.1 pts better
12.0%
2.8 pts better
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 7.7% · Expected 9.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
1.5%
0.3 pts worse
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.2% · Q3 2.0% · Q4 2.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.2%
94.7%
4.5 pts better
79.7%
19.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.5%
26.2%
6.3 pts worse
23.9%
8.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 26.0% · Expected 19.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

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

Cycle 2 Health 2023-04-27 · Fire 2023-04-27

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2021-09-23 · Fire 2021-09-23

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-08

D · Potential for more than minimal harm 2025-03-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-05-08

F · Potential for more than minimal harm 2023-04-27

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-05-27

F · Potential for more than minimal harm 2023-04-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-05-27

F · Potential for more than minimal harm 2023-04-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-27

E · Potential for more than minimal harm 2023-04-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-05-27

F · Potential for more than minimal harm 2021-09-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-10-11

F · Potential for more than minimal harm 2021-09-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-10-11

F · Potential for more than minimal harm 2021-09-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-23

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2021-10-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-11

E · Potential for more than minimal harm 2025-03-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-27

E · Potential for more than minimal harm 2025-03-27

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 2025-04-27

D · Potential for more than minimal harm 2025-03-27

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-03-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-27

Penalties and ownership

What sits behind the stars

Ownership

Bacon, Warren

Corporate Director · Individual

0% 1 facilities 2022-01-01
Bledsoe, Eric

Corporate Director · Individual

0% 1 facilities 2020-01-01
Charlotte, Jeffrey

Corporate Director · Individual

0% 1 facilities 2020-01-01
Dziatsel, Natallia

Operational/Managerial Control · Individual

0% 1 facilities 2018-01-02
Dziatsel, Natallia

Corporate Officer · Individual

0% 1 facilities 2018-01-02
Etayo, Sandra

Operational/Managerial Control · Individual

0% 1 facilities 1983-08-13
Freeman, Mark

Corporate Director · Individual

0% 1 facilities 2026-01-01
Henson, Kenneth

Corporate Director · Individual

0% 1 facilities 2025-01-29
Lancaster, Marlene

Corporate Director · Individual

0% 1 facilities 2025-01-29
Little, Sara

Corporate Director · Individual

0% 1 facilities 2025-06-19
Maliwacki, Alexandra

Operational/Managerial Control · Individual

0% 2 facilities 2025-06-28
Maliwacki, Alexandra

Corporate Officer · Individual

0% 2 facilities 2025-06-28
Neff, Raymond

Corporate Director · Individual

0% 1 facilities 2024-01-01
Reibman, Richard

Corporate Director · Individual

0% 1 facilities 2026-01-01
Sachs, Rebecca

Corporate Director · Individual

0% 1 facilities 2021-01-01
Steinhoff, Craig

Corporate Director · Individual

0% 1 facilities 2024-03-27
Sultana, Mark

Corporate Director · Individual

0% 1 facilities 2023-05-31
Talakkottur, Charles

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-18
Travnicek, Petra

Corporate Director · Individual

0% 1 facilities 2026-01-01
Ward, Tyler

Operational/Managerial Control · Individual

0% 1 facilities 2025-11-03
Waskom, John

Corporate Director · Individual

0% 1 facilities 2025-01-29
Weatherhead, Jeff

Corporate Officer · Individual

0% 1 facilities 2022-06-20

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