What is Arbor Trail Rehab and Skilled Nursing Center's Medicare star rating?

CMS rates Arbor Trail Rehab and Skilled Nursing Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Arbor Trail Rehab and Skilled Nursing Center get at its last inspection?

5 health deficiencies at the standard inspection on April 30, 2025. The Florida average is 7.1.

Has Arbor Trail Rehab and Skilled Nursing Center been fined?

CMS lists no fines in the last three years.

Does Arbor Trail Rehab and Skilled Nursing Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Arbor Trail Rehab and Skilled Nursing Center?

CMS lists 32 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: SOVEREIGN HEALTHCARE OF INVERNESS, LLC.

Arbor Trail Rehab and Skilled Nursing Center: Inspections

The record in brief

At its most recent standard inspection, on April 30, 2025, inspectors cited 5 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 13 health citations since August 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.50 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

42.3% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Sovereign Healthcare Holdings, an affiliated group of 43 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

608/22

202/24

504/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 30, 2025Standard inspection · 5 citations

F

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 30, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items were stored, labeled, and discarded according to professional standard of practice.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025

Inspectors wroteBased on interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for 2 of 8 residents reviewed, Resident #16, and #21.
D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents received intravenous (IV) therapy in accordance with professional standards of practice for 1 of 3 residents reviewed for IV medication administration, Resident #156.
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025

Inspectors wroteBased on record review and interview, the facility failed to ensure the physician/prescriber documented the rationale for declining the pharmacist's recommendations for 2 of 5 residents reviewed for unnecessary medications, Residents #21, and #27.
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 30, 2025

Inspectors wroteBased on observation and interview, the facility failed to ensure the nurse staffing information was posted on a daily basis (Photographic evidence obtained).

February 7, 2024Standard inspection · 2 citations

D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 3 of 4 medication carts.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2024

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff followed practice standard for infection prevention and control during medication administration to prevent the possible spread of infection and communicable diseases for 2 of 6 residents reviewed for medication administration, Residents #243 and #7.

August 25, 2022Standard inspection · 6 citations

E

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

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 16, 2022

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents receive respiratory care services for oxygen administration consistent with professional standards of practice for 4 of 5 residents reviewed for respiratory care, Residents #195, #61, #82, and #32 in a total sample of 33 residents.
D

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2022

Inspectors wroteBased on record review and interview the facility failed to complete a discharge summary to include a recapitulation of the resident's stay for 1 of 3 residents, Resident #90, sampled for closed record reviewed.
D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2022

Inspectors wroteBased on observation, interview and record review the facility failed to provide care for central venous access devices in accordance with professional standards of practice for 1of 1 resident with a central venous access device, in a total of 36 residents, Resident #194.
D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2022

Inspectors wroteBased on observation and interview the facility failed to ensure appropriate treatment and services to prevent the possibility of urinary tract infection for 1 of 3 residents observed for indwelling foley catheters, Resident #77.
D

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

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2022

Inspectors wroteBased on interview and record review, the facility failed to ensure the medical record for 1 of 3 residents, Resident #55, reviewed for nutrition was complete.
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 16, 2022

Inspectors wroteBased on observation, interview and record review the facility failed to ensure posted staffing information was accurate and current on 2 of 4 residential halls and in the lobby.

Fire safety inspections

21 fire safety citations on file: 4 on April 30, 2025, 3 on February 7, 2024, 14 on August 25, 2022.

Every fire safety citation21 citations

F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · April 30, 2025 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 30, 2025 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · April 30, 2025 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · April 30, 2025 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 7, 2024 · Corrected (the home has a date of correction)
E
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · February 7, 2024 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · February 7, 2024 · Corrected (the home has a date of correction)
F
Address subsistence needs for staff and patients.

E 15 · August 25, 2022 · Corrected (the home has a date of correction)
F
Create arrangements with other facilities to receive patients.

E 25 · August 25, 2022 · Corrected (the home has a date of correction)
F
Provide primary/alternate means for communication.

E 32 · August 25, 2022 · Corrected (the home has a date of correction)
F
Establish methods for sharing information.

E 33 · August 25, 2022 · Corrected (the home has a date of correction)
F
Provide family notifications of emergency plan.

E 35 · August 25, 2022 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · August 25, 2022 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · August 25, 2022 · Corrected (the home has a date of correction)
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · August 25, 2022 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · August 25, 2022 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · August 25, 2022 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 25, 2022 · Corrected (the home has a date of correction)
F
Provide a written emergency evacuation plan.

K 711 · August 25, 2022 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · August 25, 2022 · Corrected (the home has a date of correction)
E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · August 25, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Florida	United States
All nursing staff (RN, LPN and aides)	3.50	3.82	3.86
Registered nurses	0.52	0.73	0.69
All nursing staff on weekends	3.23	3.49	3.42
Nurse aides	2.08
Licensed practical nurses	0.89
Nursing staff turnover (share who left in a year)	42.3%	41.4%	45.8%
Registered nurse turnover	21.4%	46.0%	42.9%
Administrators who left	0

CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.61 on weekdays and 3.23 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.50 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.50	0.52	3.61	3.23	0.0%	0 of 90	106
Oct to Dec 2025	3.54	0.61	3.65	3.24	0.0%	0 of 92	105
Jul to Sep 2025	3.56	0.62	3.69	3.25	0.0%	0 of 92	104
Apr to Jun 2025	3.63	0.61	3.72	3.40	0.0%	0 of 91	107
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Florida, Jan to Mar 2026	3.76	0.70	3.90	3.44	1.1%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Florida	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	3.6	8.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.3	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.7	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.5	2.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	2.6	9.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.8	4.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	3.4	8.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	19.2	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.6	9.1	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	1.1	1.8

Owners and operators

Legal business name: SOVEREIGN HEALTHCARE OF INVERNESS, LLC. CMS links this home to Sovereign Healthcare Holdings, a group of 43 nursing homes averaging 3.7 stars overall.

Name	Role	Type	Since
Sovereign Healthcare Holdings LLC	Direct ownership interest	Organization	10/01/2003
Cronquist 2015 Family Tr	Indirect ownership interest	Organization	12/31/2015
John J Notermann Business Tr	Indirect ownership interest	Organization	11/12/2017
Berkadia Commercial Mortgage LLC	5% or greater security interest	Organization	09/14/2014
Fl Arbor Trail Holdings, LLC	5% or greater security interest	Organization	05/19/2009
Health Services Properties LLC	5% or greater security interest	Organization	05/19/2009
Chery, Dawn	Managing control - governing body	Individual	06/08/2017
Gerrity, Henry	Managing control - governing body	Individual	04/01/2014
Kaar, Susan	Managing control - governing body	Individual	10/01/2003
Southern Healthcare Management LLC	Operational/managerial control	Organization	05/19/2009
Cronquist, Royce	Operational/managerial control	Individual	11/12/2017
Jones, Daniel	Operational/managerial control	Individual	10/27/2023
Mangine, John	Operational/managerial control	Individual	06/25/2012
Melton, Donald	Operational/managerial control	Individual	02/15/2009
Notermann, William	Operational/managerial control	Individual	01/01/2025
Rodriguez, Jose	Operational/managerial control	Individual	03/24/2025
Notermann, Brenda	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	10/23/2025
Fl Arbor Trail Holdings, LLC	Adp of the SNF	Organization	05/19/2009
Forvis Mazars LLP	Adp of the SNF	Organization	01/01/2025
Health Services Properties LLC	Adp of the SNF	Organization	05/19/2009
Southern Healthcare Management LLC	Adp of the SNF	Organization	10/23/2025
Sovereign Healthcare Disbursements LLC	Adp of the SNF	Organization	05/19/2009
Chery, Dawn	Adp of the SNF	Individual	06/08/2017
Cronquist, Royce	Adp of the SNF	Individual	02/01/2018
Gerrity, Henry	Adp of the SNF	Individual	04/01/2014
Jones, Daniel	Adp of the SNF	Individual	10/27/2023
Kaar, Susan	Adp of the SNF	Individual	10/01/2003
Kelly, Michelle	Adp of the SNF	Individual	02/01/2018
Mangine, John	Adp of the SNF	Individual	06/25/2012
Melton, Donald	Adp of the SNF	Individual	02/15/2009
Notermann, William	Adp of the SNF	Individual	01/01/2025
Rodriguez, Jose	Adp of the SNF	Individual	03/24/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 30, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 30, 2025: "Ensure each resident receives an accurate assessment."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 30, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on April 30, 2025: "Post nurse staffing information every day."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.23 hours per resident per day, below the Florida average of 3.49.

Other nursing homes nearby

Citrus Health and Rehabilitation Center
Inverness, 1 mi · 4 of 5 stars · 28 citations
Avante at Inverness Inc
Inverness, 1.1 mi · 4 of 5 stars · 18 citations
Grove Healthcare and Rehabilitation Center and Reh
Hernando, 7.2 mi · 3 of 5 stars · 30 citations
Aviata at Brentwood
Lecanto, 8.8 mi · 2 of 5 stars · 30 citations
Life Care Center of Citrus County
Lecanto, 9.4 mi · 5 of 5 stars · 13 citations
Diamond Ridge Health and Rehabilitation Center
Lecanto, 9.5 mi · 5 of 5 stars · 13 citations
Crystal River Health and Rehabilitation Center
Crystal River, 14.6 mi · 4 of 5 stars · 26 citations
Timberridge Nursing & Rehabilitation Center
Ocala, 15.4 mi · 3 of 5 stars · 24 citations

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.

Common questions

What is Arbor Trail Rehab and Skilled Nursing Center's Medicare star rating?: CMS rates Arbor Trail Rehab and Skilled Nursing Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Arbor Trail Rehab and Skilled Nursing Center get at its last inspection?: 5 health deficiencies at the standard inspection on April 30, 2025. The Florida average is 7.1.
Has Arbor Trail Rehab and Skilled Nursing Center been fined?: CMS lists no fines in the last three years.
Does Arbor Trail Rehab and Skilled Nursing Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Arbor Trail Rehab and Skilled Nursing Center?: CMS lists 32 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: SOVEREIGN HEALTHCARE OF INVERNESS, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.