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Tiffany Hall Nursing and Rehab Center

1800 Se Hillmoor Drive, Port Saint Lucie, FL 34952 · St. Lucie County · (772) 337-3565

120 certified beds, about 106 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105819 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 20, 2025, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 19 health citations since July 2022, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $46,976 in the last three years; the largest was $46,976, and the latest is dated June 26, 2025.

Nurses and nurse aides worked 3.68 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.

30.0% 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.

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 19 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
0E
0F
Potential for minimal harm
0A
0B
0C
June 26, 2025Complaint inspection · 2 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2025
    Inspectors wroteBased on interviews, observation, record and policy review, the facility failed to protect the resident's right to be free from neglect when it failed to provide supervision to protect resident safety as evidenced by disregarding the procedure to prevent the resident from eloping, failed to search for the missing resident timely, and failed to provide essential medications, for 1 of 3 sampled residents (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 06/18/25 at 8:26 PM. There were 111 residents in the facility at the time of the survey. The facility's Administrator was notified of Immediate Jeopardy on 06/25/25 at 4:09 PM. The immediate jeopardy was removed at the time of the facility exit on 06/26/25. Cross reference to F689.
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2025
    Inspectors wroteBased on interview, observation, record and policy review, the facility failed to provide appropriate supervision to prevent an elopement which resulted in the resident exiting the facility undetected and whereabouts unknown for 12 hours as he walked along a highway that put him at risk of being hit by an automobile for 1 of 3 sampled residents (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 06/18/25 at 8:26 PM. There were 111 residents in the facility at the time of the survey. The facility's Administrator was notified of Immediate Jeopardy on 06/25/25 at 4:09 PM. The Immediate Jeopardy was removed by the time of the facility exit on 06/26/25. Cross reference to F600.
February 20, 2025Standard inspection · 6 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on policy review, record review and interview, the facility failed to identify a situation as a credible allegation of verbal abuse and to report the allegation to local Law Enforcement (LE), the State Agency (SA), and the Administrator of the facility, for 1 of 2 sampled residents, Resident #87.
  2. 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) March 20, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to change the indwelling urinary catheter for per the physician order for 1 of 1 sampled resident, Resident #79, reviewed for urinary catheter.
  3. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure urostomy (a surgical opening for urine output) care and services for 1 of 1 sampled resident, Resident #73, as evidenced by the failure to use appropriate supplies to prevent leakage.
  4. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on policy review, observation, record review and interview, the facility failed to ensure adequate nutritional status for 2 of 5 sampled residents, as evidenced by failure to weigh Resident #99 and implement fortified foods, and failure to monitor meal intake for Resident #69, both who had significant weight loss.
  5. D
    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, isolated · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on policy review, observation, record review and interview, the facility failed to ensure that the respiratory equipment was changed and maintained as ordered by the physician for 3 of 4 sampled residents, as evidenced by the nebulizer tubing and mask for Resident #99 were not changed for 2 weeks, and the oxygen concentrator filters were not maintained clean for Residents #70 and #86.
  6. 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 20, 2025
    Inspectors wroteBased on policy review, observation, record review and interview, the facility failed to ensure infection control practices for 2 of 12 sampled residents, Resident #79 and #359, as evidenced by the failure to post Enhanced Barrier Precaution (EBP) signage and failure to use Personal Protective Equipment (PPE) during direct care.
November 9, 2023Standard inspection · 5 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure shower preferences and schedules for 2 of 3 sampled residents reviewed for showers, Residents #25 and #40.
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2023
    Inspectors wroteBased on record review and interview, the facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) letter appropriately and in a manner to afford the resident and the resident's representative the opportunity to submit an appeal to the discharge, prior to a resident being discharged from Medicare Part A Skilled services, for 1 of 3 sampled residents reviewed, Resident #261.
  3. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2023
    Inspectors wroteBased on interview, policy review and documentation, the facility failed to follow the grievance process related to missing clothing for 4 of 6 sampled residents reviewed for missing clothing, Residents #25, #72, #77 and #263.
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure Level II PASARRs (Preadmission Screening and Resident Reviews) for 2 of 2 sampled residents requiring a Level II assessment (Resident #99 and #103).
  5. 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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide tube feeding per physician's orders for 2 of 2 sampled residents reviewed (Residents #66, and #93).
July 14, 2022Standard inspection · 6 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2022
    Inspectors wroteBased on interview and record review, the facility failed to provide showers per residents' preferences for 1 of 1 sampled resident reviewed for choices, Resident #15
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2022
    Inspectors wroteBased on record reviews and interviews, the facility staff failed to ensure baseline care plans were individualized to include immediate health and safety needs. The failure affected 3 of 19 sampled residents (Residents #93, #159 and #103).
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2022
    Inspectors wroteBased on observations, interview and record review, the facility failed to implement interventions as delineated in the care plan, for 1 of 2 sampled residents, Resident #17, reviewed for Wanderguard ( an alarm system to monitor residents who are a wander risk) and Resident # 85 for failure to limit position to promote wound healing.
  4. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide activities to meet the needs of 1 of 3 sampled residents reviewed for activities, Resident #79.
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2022
    Inspectors wroteBased on record review and interview, the facility staff failed to ensure medication regimen was free of unnecessary medications, for 1 of 6 sampled residents reviewed for medication management and COVID 19 infections (Resident #62).
  6. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2022
    Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain a safe and properly functional environment, as evidenced by not securing 2 of 2 'Dirty Utility Rooms, located on the [NAME] and East units, in an attempt to prevent residents from entering the rooms. This has the potential to affect all residents that are confused and that can ambulate independently. The census at the time of the survey was 99 residents.

Fire safety inspections

6 fire safety citations on file: 2 on February 20, 2025, 4 on November 9, 2023.

Every fire safety citation6 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 20, 2025 · Corrected (the home has a date of correction)
  2. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 20, 2025 · Corrected (the home has a date of correction)
  3. D
    Install an approved automatic sprinkler system.
    K 351 · November 9, 2023 · Corrected (the home has a date of correction)
  4. D
    Have properly sized and located compartments to protect residents from smoke.
    K 371 · November 9, 2023 · Corrected (the home has a date of correction)
  5. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 9, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 9, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 26, 2025Fine $46,976

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.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.683.823.86
Registered nurses0.750.730.69
All nursing staff on weekends3.293.493.42
Nurse aides2.15
Licensed practical nurses0.78
Nursing staff turnover (share who left in a year)30.0%41.4%45.8%
Registered nurse turnover55.0%46.0%42.9%
Administrators who left0

CMS expects 3.82 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 3.29 on weekends, 14% 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 3.62 in April to June 2025 to 3.68 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.680.753.833.29 0.0%0 of 90106
Oct to Dec 20253.710.813.863.33 0.0%0 of 92104
Jul to Sep 20253.750.733.903.37 0.0%0 of 92102
Apr to Jun 20253.620.643.743.31 0.0%0 of 91109
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.58.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.20.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.22.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.39.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.24.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.68.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.39.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.22.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.11.8

Owners and operators

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

NameRoleTypeShareSince
Sovereign Healthcare Holdings LLCDirect ownership interestOrganization10/01/2003
Mangine, JohnDirect ownership interestIndividual06/25/2012
Cronquist 2015 Family TrIndirect ownership interestOrganization12/31/2015
John J Notermann Business TrIndirect ownership interestOrganization11/12/2017
Berkadia Commercial Mortgage LLC5% or greater security interestOrganization01/29/2015
Fl Tiffany Hall Holdings, LLC5% or greater security interestOrganization05/19/2009
Health Services Properties LLC5% or greater security interestOrganization05/19/2009
Bell, CharlesManaging control - governing bodyIndividual09/15/2016
Chery, DawnManaging control - governing bodyIndividual06/08/2017
Kaar, SusanManaging control - governing bodyIndividual10/01/2003
Southern Healthcare Management LLCOperational/managerial controlOrganization05/19/2009
Cronquist, RoyceOperational/managerial controlIndividual02/01/2018
Mangine, JohnOperational/managerial controlIndividual06/25/2012
Melton, DonaldOperational/managerial controlIndividual02/15/2009
Notermann, WilliamOperational/managerial controlIndividual01/01/2025
O'Sullivan, DianneOperational/managerial controlIndividual12/19/2011
Tejeda, DanielOperational/managerial controlIndividual09/01/2025
Notermann, BrendaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual10/28/2025
Fl Tiffany Hall Holdings, LLCAdp of the SNFOrganization05/19/2009
Forvis Mazars LLPAdp of the SNFOrganization01/01/2025
Health Services Properties LLCAdp of the SNFOrganization05/19/2009
Southern Healthcare Management LLCAdp of the SNFOrganization10/28/2025
Sovereign Healthcare Disbursements LLCAdp of the SNFOrganization05/19/2009
Bell, CharlesAdp of the SNFIndividual09/15/2016
Chery, DawnAdp of the SNFIndividual06/08/2017
Cronquist, RoyceAdp of the SNFIndividual02/01/2018
Kaar, SusanAdp of the SNFIndividual10/01/2003
Kelly, MichelleAdp of the SNFIndividual02/01/2018
Mangine, JohnAdp of the SNFIndividual06/25/2012
Melton, DonaldAdp of the SNFIndividual02/15/2009
Notermann, WilliamAdp of the SNFIndividual01/01/2025
O'Sullivan, DianneAdp of the SNFIndividual12/19/2011
Tejeda, DanielAdp of the SNFIndividual09/01/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on June 26, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 9, 2023: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 9, 2023: "PASARR screening for Mental disorders or Intellectual Disabilities"
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 26, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.29 hours per resident per day, below the Florida average of 3.49.

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Common questions

What is Tiffany Hall Nursing and Rehab Center's Medicare star rating?
CMS rates Tiffany Hall Nursing and Rehab Center 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Tiffany Hall Nursing and Rehab Center get at its last inspection?
6 health deficiencies at the standard inspection on February 20, 2025. The Florida average is 7.1.
Has Tiffany Hall Nursing and Rehab Center been fined?
Yes. CMS lists 1 fine totaling $46,976 in the last three years.
Does Tiffany Hall Nursing and Rehab 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 Tiffany Hall Nursing and Rehab Center?
CMS lists 33 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: SOVEREIGN HEALTHCARE OF PORT ST. LUCIE, LLC.

Sources

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