Cypress Care Center
490 S Old Wire Rd, Wildwood, FL 34785 · Sumter County · (352) 748-3322
180 certified beds, about 173 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105649 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 20, 2025, inspectors cited 10 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 29 health citations since June 2022 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $25,799 in the last three years; the largest was $25,799, and the latest is dated March 4, 2025.
Nurses and nurse aides worked 3.69 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
53.1% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Gold Fl Trust II, an affiliated group of 36 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.
806/22
912/23
103/25
1003/25
109/25
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 29 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
4E
2F
Potential for minimal harm
0A
0B
1C
September 24, 2025Complaint inspection · 1 citation
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to ensure accurate nurse staffing information was posted on a daily basis.
March 20, 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 the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles for 5 out of 8 medication carts and 1 out of 4 units reviewed for unattended medication.
- 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 policy review, the facility failed to ensure food is safely stored, covered, and cooked in a manner that preserves the nutritional value, and that sanitation was maintained in the kitchen.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure each resident was provided with an assessment which accurately reflects the resident's status for 3 (Resident #111, #24, #4) of 10 residents reviewed for communication, nutrition and activities of daily living.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive care plan for 2 (Resident #111 and #91) of 5 residents reviewed for communication and respiratory care.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure professional standards of practice were implemented for 2 (Resident #124 and #147) of 4 residents reviewed for gastric tubes.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews and record reviews the facility failed to provide care and services in accordance with professional standards of practice for 2 (Resident #267, #118)) of 10 residents reviewed for central venous access devices and medication administration.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the residents environment was free from accident hazards when 2 (Resident #77 and Resident #139) of 4 residents were not assessed for safe smoking.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interviews and record reviews, the facility failed to ensure that residents fed by enteral means received the care and services as prescribed by the physician for 1 Resident (Resident #134) of 3 residents reviewed for tube feeding services.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure services for respiratory care, consistent with professional standards of practice ,were provided for 2 (Resident #124 and # 91) of 6 residents reviewed for oxygen therapy.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on interview and record review, the facility failed to obtain a urinalysis when ordered by the physician for 1 (Resident #82) resident of 5 residents reviewed for unnecessary medications.
March 4, 2025Complaint inspection · 1 citation
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, the facility failed to ensure guidance was provided to 2 of 3 residents, Residents #1 and #2, of informed health status treatment and changes related to the enrollment/disenrollment from health plan coverage, and failed to develop a written policy and procedure regarding the process of assisting beneficiaries with changing their health care coverage.
December 7, 2023Standard inspection · 9 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, record review, and interview, the facility failed to ensure that opened blood glucose test strips were labeled in 3 of 6 medication carts observed.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wrote3. During an observation on 12/4/2023 at 9:22 AM, Resident #62 was lying in bed with a dressing on the right upper arm dated 11/29/2023. During an observation on 12/4/2023 at 12:10 PM, Resident #62 had a dressing on the right upper arm dated 11/29/2023. Review of Resident #62's physician order dated 10/30/2023 showed the order to cleanse the right arm with normal saline, pat dry, apply Xeroform and cover with pad two times a day for skin tear. Review of Resident #62's Treatment Administration Record for November 2023 and December 2023 revealed the wound care and dressing change was completed on 11/30/2023, 12/1/2023, 12/2/2023, 12/3/2023. During an interview on 12/6/2023 at 1:53 PM, the Director of Nursing stated that the dressing had not been changed since November 29, 2023, and that the nurses documented that the skin care on the upper right arm was completed. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure Minimum Data Set (MDS) was accurate for 1 of 3 discharged residents, Resident #167.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received nail care for 1 of 3 reviewed residents, Resident #132.
- 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 treatment and care in accordance with professional standards of practice for 2 of 5 residents receiving intravenous infusion via Peripherally Inserted Central Catheter (PICC) Line, Residents #18 and #62.
- 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 the nutritional status for 1 of 6 residents reviewed for nutrition, Resident #81.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication error rate was below 5%. The facility's medication error rate was 7.14%.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adaptive eating equipment or devices were provided to 1 of 6 residents reviewed for nutrition, Resident #469.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff performed assessment and proper dressing changes for Peripherally Inserted Central Catheter (PICC) Line and attach a needleless connector to the PICC line valve to help prevent the development and transmission of infection for 1 of 3 residents, Resident #18, and failed to ensure infection control standards were followed for 1 of 3 residents reviewed for indwelling urinary catheter, Resident #470.
June 23, 2022Standard inspection · 8 citations
- F 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 principles in 6 of 8 medication carts.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure infection control procedures were followed to prevent the possible spread of infection.
- 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 record review and interview the facility failed to ensure residents were provided with information of the right to accept or refuse medical or surgical treatment and, at the resident's option, formulate an advance directive for 1 of 5 residents, Resident #167, reviewed for advance directives.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview, the facility failed to develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident within 48 hours of a resident's admission, for 1 of 3 newly admitted residents, Resident #518, in a total sample of 52 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview and record review the facility failed to provide services in accordance with professional standards of practice for gastrostomy tube medication administration for 2 of 6 residents, Residents #58 and #157 sampled for gastrostomy tubes, in a total sample of 52 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good personal hygiene for 2 of 3 residents, Residents #130 and #46, in a total sample of 52 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide respiratory care services in accordance with professional standards of practice for 4 of 13 residents who received respiratory care services, Resident #50, #58, #166 and #105.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and interview the facility failed to ensure garbage and refuse was properly disposed of.
Fire safety inspections
26 fire safety citations on file: 11 on March 20, 2025, 7 on December 7, 2023, 8 on June 23, 2022.
Every fire safety citation26 citations
- E Develop and maintain an Emergency Preparedness Program (EP).
- E Meet other general requirements.
- E Have exits that are accessible at all times.
- E Install proper backup exit lighting.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure that testing and maintenance of electrical equipment is performed.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- E Meet other general requirements that are deficient.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
- E Ensure that testing and maintenance of electrical equipment is performed.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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 Have simulated fire drills held at unexpected times.
- E Have power receptacles that are properly grounded.
- E Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 4, 2025 | Fine | $25,799 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.69 | 3.82 | 3.86 |
| Registered nurses | 0.29 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.49 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 53.1% | 41.4% | 45.8% |
| Registered nurse turnover | 52.9% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 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 3.83 on weekdays and 3.35 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.90 in April to June 2025 to 3.69 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 | 3.69 | 0.29 | 3.83 | 3.35 | 0.7% | 0 of 90 | 173 |
| Oct to Dec 2025 | 3.72 | 0.26 | 3.92 | 3.22 | 0.8% | 0 of 92 | 168 |
| Jul to Sep 2025 | 3.78 | 0.32 | 3.93 | 3.40 | 0.7% | 0 of 92 | 170 |
| Apr to Jun 2025 | 3.90 | 0.35 | 4.09 | 3.43 | 0.1% | 0 of 91 | 168 |
| 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 | 2.2 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 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 | 3.7 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.4 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.0 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.5 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 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: ARBOR NURSING AND REHAB LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Arbor Nursing Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 03/23/2022 |
| Fl Master Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Fl SNF Trust I | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Fl SNF Trust II | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Graham, Dwayne | W-2 managing employee | Individual | 07/27/2022 | |
| Ellenbogen, Moss | Corporate officer | Individual | 07/27/2022 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on March 20, 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 7 problems in this area, most recently on March 20, 2025: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 20, 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 20, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.35 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Buffalo Crossings Healthcare & Rehabilitation Cen The Villages, 5.1 mi · 5 of 5 stars · 17 citations
- Villages Healthcare and Rehabilitation Center, the Lady Lake, 8 mi · 2 of 5 stars · 23 citations
- Freedom Pointe Health Center The Villages, 8 mi · 4 of 5 stars · 17 citations
- Chatham Glen Healthcare and Rehabilitation Center The Villages, 8.1 mi · 5 of 5 stars · 13 citations
- Lady Lake Specialty Care Center and Rehab Lady Lake, 8.4 mi · 1 of 5 stars · 26 citations
- Club Healthcare and Rehabilitation Center at the V The Villages, 8.6 mi · 3 of 5 stars · 24 citations
- Avante at Leesburg, Inc Leesburg, 9.2 mi · 2 of 5 stars · 28 citations
- North Campus Rehabilitation and Nursing Center Leesburg, 10.1 mi · 4 of 5 stars · 21 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 Cypress Care Center's Medicare star rating?
- CMS rates Cypress Care Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cypress Care Center get at its last inspection?
- 10 health deficiencies at the standard inspection on March 20, 2025. The Florida average is 7.1.
- Has Cypress Care Center been fined?
- Yes. CMS lists 1 fine totaling $25,799 in the last three years.
- Does Cypress Care 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 Cypress Care Center?
- CMS lists 6 owners and managers, and links the home to Gold Fl Trust II. Legal business name: ARBOR NURSING AND REHAB 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.