Cycle 1
Health 2024-03-28 · Fire 2024-03-28
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Dade City, FL
Royal Oak Nursing Center
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
37300 Royal Oak Lane, Dade City, FL
(352) 567-3122
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
104
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Health Services Management
Operator or chain grouping
Approved since
1981-05-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.72
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.71
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
3.69
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.76
CMS adjusted RN staffing hours
Adjusted total hours
3.92
CMS adjusted total nurse staffing hours
Case-mix index
1.29
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
Value-based purchasing
Program rank
1,822
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.77
Composite VBP score used to determine payment impact.
Payment multiplier
1.0085
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.80
Baseline 15.86% · Performance 17.82% · Measure score 7.80 · Achievement 7.80 · Improvement 0
Healthcare-associated infections
6.81
Baseline 7.37% · Performance 5.80% · Measure score 6.81 · Achievement 6.81 · Improvement 6.11
Total nurse turnover
4.46
Performance 45.45% · Measure score 4.46 · Achievement 4.46 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.44
Baseline 4.12 hours · Performance 3.77 hours · Measure score 2.44 · Achievement 2.44 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.91% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 125 · Observed rate 9.6% · Lower 95% interval 6.96% |
| Discharge to community | 41.96% |
50.57%
8.6 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 35.23% · Lower 95% interval 32.26% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 98.96% |
95.27%
3.7 pts better
|
Numerator 190 · Denominator 192 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 192 |
| Discharge self-care score | 36.42% |
53.69%
17.3 pts worse
|
Numerator 55 · Denominator 151 |
| Discharge mobility score | 44.37% |
50.94%
6.6 pts worse
|
Numerator 67 · Denominator 151 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 6 · Denominator 192 · Adjusted rate 2.7% |
| Healthcare-associated infections requiring hospitalization | 5.8% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 2.63% · Lower 95% interval 3.02% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 186 |
| Staff flu vaccination coverage | 10.55% |
42%
31.4 pts worse
|
Numerator 27 · Denominator 256 |
| Discharge function score | 45.03% |
56.45%
11.4 pts worse
|
Numerator 68 · Denominator 151 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 93 · Denominator 93 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 1.65% |
25.2%
23.6 pts worse
|
Numerator 2 · Denominator 121 |
Quality measures
Resident outcomes and process scores
| 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 0.9 · Expected 2.0 · 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 0.5 · Expected 1.6 · 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 | 0.9% |
2.6%
1.7 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
3.7%
2.8 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
5.9%
0.5 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 6.0% · Q3 5.0% · Q4 5.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.1% |
15.7%
2.6 pts better
|
19.6%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 10.3% · Q3 17.7% · Q4 16.4% · 4Q avg 13.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.0% |
9.8%
3.8 pts better
|
16.7%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.3% · Q3 8.6% · Q4 5.0% · 4Q avg 6.0% · 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 | 33.9% |
11.7%
22.2 pts worse
|
16.3%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 38.0% · Q3 41.5% · 4Q avg 33.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.9% |
9.8%
2.1 pts worse
|
14.9%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 7.9% · Q3 12.3% · Q4 9.8% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.4%
0.7 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.6% · Q3 0.8% · Q4 0.7% · 4Q avg 1.1% · 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 | 24.7% |
12.5%
12.2 pts worse
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 27.0% · Q3 21.6% · Q4 24.3% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
5.1%
1.9 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.6% · Q3 6.9% · Q4 4.6% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
94.3%
0.9 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 94.5% · Q3 95.8% · Q4 96.1% · 4Q avg 95.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
9.3%
1 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 8.2% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
94.7%
0.7 pts worse
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.2% |
26.2%
9 pts better
|
23.9%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 16.5% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-01-14 · Fire 2022-01-14
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2020-10-15 · Fire 2020-10-15
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-03-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-27
D · Potential for more than minimal harm
2024-03-28
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-27
D · Potential for more than minimal harm
2022-01-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-02-24
D · Potential for more than minimal harm
2020-10-15
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-11-15
D · Potential for more than minimal harm
2020-10-15
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2020-11-15
D · Potential for more than minimal harm
2020-10-15
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-11-15
D · Potential for more than minimal harm
2020-10-15
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2020-11-15
D · Potential for more than minimal harm
2020-10-15
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-11-15
D · Potential for more than minimal harm
2020-10-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-01-11
D · Potential for more than minimal harm
2020-10-15
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-11-15
D · Potential for more than minimal harm
2020-10-15
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-11-15
D · Potential for more than minimal harm
2020-10-15
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-11-15
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-03-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-27
E · Potential for more than minimal harm
2024-03-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-27
D · Potential for more than minimal harm
2024-03-28
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-04-27
D · Potential for more than minimal harm
2024-03-28
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-27
D · Potential for more than minimal harm
2024-03-28
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-27
D · Potential for more than minimal harm
2024-03-28
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-04-27
E · Potential for more than minimal harm
2022-01-14
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-02-14
E · Potential for more than minimal harm
2022-01-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-02-14
D · Potential for more than minimal harm
2022-01-14
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 2022-02-14
D · Potential for more than minimal harm
2022-01-14
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-02-14
D · Potential for more than minimal harm
2022-01-14
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-02-14
D · Potential for more than minimal harm
2022-01-14
F909 · Environmental Deficiencies
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2022-02-14
D · Potential for more than minimal harm
2020-10-15
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2020-11-13
Penalties and ownership
What sits behind the stars
Ownership
Health Services Management, Inc.
5% Or Greater Direct Ownership Interest · Organization
Baxter, Kevin
Corporate Officer · Individual
Fisher, Scott
Operational/Managerial Control · Individual
Fisher, Scott
Corporate Officer · Individual
Gant, Amy
Operational/Managerial Control · Individual
Hashmi, Haseeb
Operational/Managerial Control · Individual
Health Services Management, Inc.
Operational/Managerial Control · Organization
Jackson, Brian
Operational/Managerial Control · Individual
Jackson, Brian
Corporate Officer · Individual
National Health Investors, Inc.
5% Or Greater Mortgage Interest · Organization
Nhi-Reit Of Florida, LLC
5% Or Greater Mortgage Interest · Organization
Shatz, Jim
Operational/Managerial Control · Individual
Shatz, Jim
Corporate Officer · Individual
White, Joshua
Operational/Managerial Control · Individual
White, Joshua
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Dade City Health And Rehabilitation Center
Dade City, FL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $67,467 in total fines with 20 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Solaris Healthcare Zephyrhills
Zephyrhills, FL
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Hillside Health And Rehabilitation Center
Zephyrhills, FL
3-star overall rating with 2-star inspections with $3,728 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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