Citrus Health and Rehabilitation Center
701 Medical Court East, Inverness, FL 34452 · Citrus County · (352) 860-0200
111 certified beds, about 101 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105858 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 15, 2025, inspectors cited 10 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 28 health citations since September 2022, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.67 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
48.0% of nursing staff left within the year CMS measured (Florida average 41.4%).
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.
1109/22
702/24
1005/25
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 28 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
4J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
7E
1F
Potential for minimal harm
0A
0B
0C
May 15, 2025Standard inspection · 10 citations
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles in 3 of 5 units.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments accurately reflected the residents' status for 3 of 7 residents reviewed for nutrition (Resident #13, #65, and #69), and 1 of 6 residents reviewed for hospice services (Resident #349).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise the residents' care plans to meet the current needs of the residents for 1 of 11 residents reviewed for enhanced barrier precautions (Resident #56) and 1 of 2 residents reviewed for dialysis services (Resident #15).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents received services according to professional standar of practice for 1 of 5 residents reviewed for unnecessary medications (Resident #151).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received medications as ordered by physician for 2 of 7 residents reviewed for medication administration (Residents #29, and #55), and failed to ensure enteral tube dressing was changed for 1 of 1 resident reviewed for enteral feeding (Resident #349).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to keep resident environment free of accident hazards.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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 #12 and #19).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain complete and accurate medical records for 1 of 1 resident reviewed for enteral feeding (Resident #349) and 1 of 6 residents reviewed of 5 residents reviewed for immunizations (Resident #29).
- D Provide and implement an infection prevention and control program.
Inspectors wrote3) During an observation on 5/14/2025 at 9:19 AM, Staff C, RN, gathered wound care supplies for Resident #29. Staff C removed bandage scissors from his pants pocket and cut the wound dressing and calcium alginate. Staff C removed the dressings from Resident #29's left lower leg and foot and right lower leg, using the bandage scissors to cut away the external gauze portion of the dressings. Without removing his gloves or performing hand hygiene, Staff C then used the prescribed cleanser on three wounds on Resident #29's left lower leg and patted them dry with gauze. Staff C removed the remaining dressing from Resident #29's right lower leg, and without removing his gloves or performing hand hygiene, applied the prescribed cleanser and patted it dry with gauze. [...]
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure call light cords and buttons were placed within resident's reach while they were in bed for 1 of 8 residents reviewed (Resident #40).
February 22, 2024Standard inspection, Complaint inspection · 7 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was properly and safely stored, covered and labeled in the areas of the kitchen coolers and freezers and failed to ensure the equipment and storage containers were kept in a clean condition.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration in 6 of 12 observations for medication administration.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition were reviewed for level II pre-admission screening and resident review (PASARR) for 1 of 4 reviewed residents, Residents #41.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents maintained acceptable parameters of nutritional status to prevent weight loss for 1 of 6 reviewed residents, Resident #660.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to administer oxygen per physician orders and according to professional standards of practice for 2 of 3 residents reviewed for respiratory care, Residents #55 and #64.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional standards.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were accurate and complete for 1 of 3 residents reviewed for insulin administration, Resident #93, and for 1 of 3 residents reviewed for changes in condition, Resident #108.
September 16, 2022Standard inspection · 11 citations
- J Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to immediately consult with the resident's physician and notify the residents' representatives when there was a change of condition for 2 of 2 residents reviewed for changes in condition, Resident #29 and #42, resulting in the residents having to be treated by IV (intravenous) antibiotic therapy due to infection. Delay in notifying the physician of a wound, critical labs, and resident change in condition due to infection can result in the spread of the infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening.
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from medical neglect when they did not immediately consult with the resident's physician and notify the residents' representatives when there was a change of condition for 2 of 2 residents, Residents #29 and #42, resulting in a delay of care. Delay in notifying the physician of a wound, critical labs, or resident change in condition can result in the spread of infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening.
- J Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on observation, interview, and record review the facility administration failed to administer the facility in a manner that enables it to attain and maintain the highest practicable physical well-being of each resident and to prevent medical neglect when the facility failed to notify the physician of critical laboratory results, wound culture results and wound care needs resulting in a delay in care and treatment for 2 of 2 residents, Residents #29 and #42. Delay in wound care treatment can result in the spread of infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening.
- J Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observation, interview, and record review the facility failed to utilize the Quality Assessment and Process Improvement (QAPI) process when the administrative staff failed to investigate, develop, and implement appropriate plans of correction to identify and correct quality deficiencies of the facility failing to notify the physician of critical laboratory results, wound culture results and wound care needs resulting in a delay in care and treatment for 2 of 2 residents, Residents #29 and #42. Delay in wound care treatment can result in the spread of infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening. Findings Include: 1. Review of the admission record documented Resident #29 was admitted to the facility on [DATE] with the following diagnoses: [...]
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview the facility failed to store food in accordance with professional standards for food service safety in 1 of 2 nutrition room refrigerators containing food for resident consumption.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide care and services for central venous access devices in accordance with professional standards of practice for 2 of 3 residents, Residents #42 and #29, reviewed with a central venous access devices out of a total sample of 36 residents.
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the proper disposal of garbage and refuse.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain accurate and complete medical records for midline catheter dressing changes for 2 of 3 residents, Residents #42, and #29, and Preadmission Screening and Resident Review (PASRR) for 1 of 3 residents, Resident #79.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent the possible spread of infection during wound care and medication administration.
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure 2 residents (Resident #16 and Resident #19) of 12 residents reviewed for advanced directives were informed and provided written information concerning their right to choose and formulate an advance directive.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the privacy of 1 resident, Resident #69, of 2 residents reviewed for dementia care.
Fire safety inspections
12 fire safety citations on file: 2 on May 15, 2025, 4 on February 22, 2024, 6 on September 16, 2022.
Every fire safety citation12 citations
- F Ensure proper usage of power strips and extension cords.
- E Have generator or other power source capable of supplying service within 10 seconds.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have power receptacles that are properly grounded.
- E Have simulated fire drills held at unexpected times.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Meet other general requirements that are deficient.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
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) | 3.67 | 3.82 | 3.86 |
| Registered nurses | 0.40 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.30 | 3.49 | 3.42 |
| Nurse aides | 2.34 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 48.0% | 41.4% | 45.8% |
| Registered nurse turnover | 58.8% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.73 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 3.82 on weekdays and 3.30 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.68 in April to June 2025 to 3.67 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 | 3.67 | 0.40 | 3.82 | 3.30 | 1.4% | 0 of 90 | 101 |
| Oct to Dec 2025 | 3.71 | 0.41 | 3.85 | 3.37 | 1.5% | 0 of 92 | 104 |
| Jul to Sep 2025 | 3.79 | 0.48 | 3.98 | 3.32 | 0.5% | 0 of 92 | 105 |
| Apr to Jun 2025 | 3.68 | 0.54 | 3.83 | 3.29 | 0.8% | 0 of 91 | 103 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Florida
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 3.5 | 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 | 0.3 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.1 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.7 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.9 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.1 | 1.8 |
Owners and operators
Legal business name: CITRUS NURSING CENTER LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| SNF Aa 03 LLC | 5% or greater direct ownership interest | Organization | 100% | 02/16/2015 |
| Amselem, Alex | 5% or greater indirect ownership interest | Individual | 100% | 02/16/2015 |
| Dimenna, Alexander | W-2 managing employee | Individual | 01/01/2022 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on May 15, 2025: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 15, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 15, 2025: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on May 15, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.30 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Avante at Inverness Inc Inverness, 0.3 mi · 4 of 5 stars · 18 citations
- Arbor Trail Rehab and Skilled Nursing Center Inverness, 1 mi · 5 of 5 stars · 13 citations
- Grove Healthcare and Rehabilitation Center and Reh Hernando, 7.6 mi · 3 of 5 stars · 30 citations
- Aviata at Brentwood Lecanto, 9.1 mi · 2 of 5 stars · 30 citations
- Life Care Center of Citrus County Lecanto, 9.5 mi · 5 of 5 stars · 13 citations
- Diamond Ridge Health and Rehabilitation Center Lecanto, 9.9 mi · 5 of 5 stars · 13 citations
- Crystal River Health and Rehabilitation Center Crystal River, 14.8 mi · 4 of 5 stars · 26 citations
- Cypress Cove Care Center Crystal River, 15.4 mi · 5 of 5 stars · 5 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 Citrus Health and Rehabilitation Center's Medicare star rating?
- CMS rates Citrus Health and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Citrus Health and Rehabilitation Center get at its last inspection?
- 10 health deficiencies at the standard inspection on May 15, 2025. The Florida average is 7.1.
- Has Citrus Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Citrus Health and Rehabilitation 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 Citrus Health and Rehabilitation Center?
- CMS lists 3 owners and managers. Legal business name: CITRUS NURSING CENTER 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.