124 W Norvell Bryant Hwy, Hernando, FL 34442 · Citrus County · (352) 249-3100
120 certified beds, about 108 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106036 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 19, 2025, inspectors cited 9 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 30 health citations since November 2022, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 1 fine totaling $167,954 in the last three years; the largest was $167,954, and the latest is dated May 2, 2025.
Nurses and nurse aides worked 3.89 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
51.7% 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.
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.
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 30 health citations on file.
Inspectors wroteBased on record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for 2 of 9 residents reviewed for nutrition (Residents #35 and #54).
Inspectors wroteBased on record review and interview, the facility failed to coordinate assessments for the residents with newly evident or possible serious mental disorder for 1 of 3 residents reviewed for mood and behavior (Resident #80).
Inspectors wroteBased on interview and record review, the facility failed to revise the comprehensive care plan after a significant change for 1 of 6 residents reviewed (Resident #96).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received health care services consistent with professional standards of practice for 1 of 1 resident with central venous catheter (Resident #96) and 1 of 3 residents reviewed for wound care (Resident #54).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received appropriate respiratory care consistent with professional standards of practice for 2 of 6 residents reviewed for respiratory care (Residents #29 and #96).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that it was free of medication error of five percent or greater. The error rate was 5.88%.
Inspectors wroteBased on observation, interview, and record review, the facility failed to accommodate resident food preferences for vegetarian residents for 1 of 9 residents reviewed for nutrition (Resident #11).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medical records were complete and accurate for 1 of 6 residents reviewed for medication management (Resident #108).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff used appropriate personal protective equipment (PPE) while providing care to the residents who were on transmission-based precautions for 1 of 2 residents reviewed for contact precautions (Resident #82) and failed to ensure staff performed hand hygiene during meal distribution.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure residents received treatment and care according to professional standards of practice when suffering a change in condition for 1 of 3 residents reviewed, Resident #1. On 4/9/2024 at 12:45 AM, Resident #1 had a blood sugar value of 72, Staff A, Licensed Practical Nurse (LPN), did not contact the provider and administered glucose gel without a physician's order. On 4/9/2025 at 1:49 AM, Resident #1 was less responsive. On 4/9/2025 at 3:00 AM, Resident #1 had a blood sugar value of 42. The on-call physician was called, and ordered to administer Glucagon intramuscularly, monitor, and send to the emergency room if no positive response to Glucagon received. On 4/9/2025 at 5:30 AM, Resident #1 had a blood sugar value of 50. The blood sugar value was rechecked with a blood sugar value of 50. [...]
Inspectors wroteBased on interviews and record reviews, the facility administration failed to administer the facility in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practical, physical, mental, and psychosocial well-being of each resident by failing to implement policies and procedures related to change in condition for 1 of 3 residents reviewed, Resident #1. On [DATE] at 12:45 AM, Resident #1 had a blood sugar value of 72, Staff A, Licensed Practical Nurse (LPN), did not contact the provider and administered glucose gel without a physician's order. On [DATE] at 1:49 AM, Resident #1 was less responsive. On [DATE] at 3:00 AM, Resident #1 had a blood sugar value of 42. The on-call physician was called, and ordered to administer Glucagon intramuscularly, monitor, and send to the emergency room if no positive response to Glucagon received. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to utilize the Quality Assessment and Performance Improvement (QAPI) process to investigate, identify, develop, and implement an effective performance improvement plan (PIP) for failure to notify the physician of a resident change in condition and to follow physician's orders. On [DATE] at 12:45 AM, Resident #1 had a blood sugar value of 72, Staff A, Licensed Practical Nurse (LPN), did not contact the provider and administered glucose gel without a physician's order. On [DATE] at 1:49 AM, Resident #1 was less responsive. On [DATE] at 3:00 AM, Resident #1 had a blood sugar value of 42. The on-call physician was called, and ordered to administer Glucagon intramuscularly, monitor, and send to the emergency room if no positive response to Glucagon received. On [DATE] at 5:30 AM, Resident #1 had a blood sugar value of 50. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure resident medical records were complete and accurate for 1 of 3 residents, Resident #1.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff used appropriate PPE (Personal Protective Equipment) while providing direct care for 1 of 5 residents on transmission-based precautions, Resident #2, to help prevent the possible spread of infection and communicable diseases (Photographic evidence obtained).
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 3 out of 6 medication carts, and failed to ensure the medications were securely stored in 2 out of 6 halls.
Inspectors wroteBased on record review and interview, the facility failed to ensure assessments accurately reflected the residents' status for 1 of 3 sampled residents, Resident #104.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care plan was implemented for placement of bilateral fall mats for 1 of 6 residents reviewed for implementation of care plans, Resident #74.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents' environments were free of accidents hazards for 1 of 6 residents reviewed for accidents, Resident #55.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was properly labeled and dated or discarded in 2 of 3 nourishment rooms (Hall 500/600 and Hall 400).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure garbage and refuse was properly contained in dumpsters.
Inspectors wrote3. Review of Resident #2's laboratory results for a urinalysis with reflex to urine culture read, blood 3+ [can be significant for proteinuria], and leukocyte esterase 3+ [may indicate a urinary tract infection]. The report showed normal range results for blood and leukocyte esterase as negative. During an interview on 3/27/2024 at 11:31 AM, the DON verified the lab urine culture results were received for Resident #2. She stated the results were reviewed by the charge nurses, and they have a protocol that they are to follow that includes contacting the physician and any order obtained are to be documented. During an interview on 3/27/2024 at 12:12 PM, Physician #1 stated, The patient has a chronic catheter and the patient was asymptomatic at the time of the notification. I did not recommend the patient to be treated with antibiotics due to the patient being asymptomatic. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff followed transmission-based precautions for 1 3 residents on transmission-based precautions, Resident #458, failed to ensure staff performed hand hygiene during medication administration in 2 of 8 observations of medication administration, and failed to ensure staff wore gloves during insulin administration in 2 of 3 observations, to prevent the possible spread of infection and communicable diseases.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care and services in accordance with professional standards of practice for peripherally inserted central catheters for 2 of 3 residents, Residents #308 and #312, sampled for central venous catheters.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper infection control standards were maintained for hand hygiene during medication administration for 4 of 5 observations.
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure dignity was provided and resident rights were protected for 2 of 4 residents, Residents #23 and #50, sampled for indwelling catheters.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure fall precaution interventions as outlined in the care plan were implemented for 1 of 2 residents, Resident #52, sampled for accident prevention.
Inspectors wrote2. Review of the admission record for Resident #311 documented the resident was admitted to the facility on [DATE] with the following diagnoses: Metabolic encephalopathy, Methicillin Resistant Staphylococcus Aureus infection, left lower leg cellulitis and right lower leg cellulitis, type 2 diabetes mellitus, chronic peripheral venous insufficiency, anemia, hyperlipidemia, atherosclerotic heart disease, primary osteoarthritis, essential (primary) hypertension, and peripheral vascular disease. Review of the Nursing admission assessment dated [DATE] documented left lower leg (front) venous stasis ulcers. Right lower leg front venous stasis ulcers. Coccyx open area to both buttock and coccyx. Small, picked scab to right arm. Review of the Wound Care consult dated 11/8/2022 documented recommendations read, Bilateral legs: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents maintained acceptable parameters of nutritional status for 2 of 4 residents, Residents #104 and #23, reviewed for nutrition.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure professional standards of practice were followed for oxygen administration for 2 of 3 residents, Residents #309 and #310, reviewed for respiratory care.
Inspectors wroteBased on observation and interview, the facility failed to ensure the handrails in one residential hallway, Hall 300, of six residential hallways were maintained in good repair.
1 fire safety citation on file: 1 on November 18, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| May 2, 2025 | Fine | $167,954 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.89 | 3.82 | 3.86 |
| Registered nurses | 0.40 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.57 | 3.49 | 3.42 |
| Nurse aides | 2.49 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 51.7% | 41.4% | 45.8% |
| Registered nurse turnover | 56.3% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.01 on weekdays and 3.57 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.71 in April to June 2025 to 3.89 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 | 3.89 | 0.40 | 4.01 | 3.57 | 1.3% | 0 of 90 | 108 |
| Oct to Dec 2025 | 3.86 | 0.42 | 3.92 | 3.71 | 1.7% | 0 of 92 | 116 |
| Jul to Sep 2025 | 3.69 | 0.38 | 3.76 | 3.51 | 0.5% | 0 of 92 | 116 |
| Apr to Jun 2025 | 3.71 | 0.57 | 3.80 | 3.50 | 0.0% | 0 of 91 | 116 |
| 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
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.
| 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.
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 | 5.0 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 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 | 3.4 | 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 | 7.3 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.9 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.0 | 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 | 1.1 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Grove Healthcare and Rehabilitation Center and Reh's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
48.7% this home
No different from the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 392 eligible stays.
12.9% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 436 eligible stays.
5.7% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 231 eligible stays.
75.8% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 182 residents counted.
1.1% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 264 residents counted.
2.0% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 263 residents counted.
88.9% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 27 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CITRUS HILLS 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 |
|---|---|---|---|---|
| Citrus Hills Nursing and Rehab Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 03/25/2022 |
| Fl Master Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 95% | 07/27/2022 |
| Pedersen, Matthew | W-2 managing employee | Individual | 07/27/2022 | |
| Scheiner, Moshe | 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.
Chosen from this home's own inspection record.
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