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Waterford, the

601 Universe Blvd, Juno Beach, FL 33408 · Palm Beach County · (561) 627-3800

60 certified beds, about 45 residents a day · Non profit - Corporation · Medicare and Medicaid since 1982

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105404 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 6, 2025, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 15 health citations since July 2022 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 3.49 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.

23.3% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Lifespace Communities, an affiliated group of 15 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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
1E
0F
Potential for minimal harm
0A
0B
0C
February 6, 2025Standard inspection · 4 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure accurate Minimum Data Set (MDS) assessments for 2 of 13 sampled residents, Resident #32 related to vision, and Resident #44 related to discharge status.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide medications as per physician order for 1 of 6 sampled residents reviewed for medications, Resident #10, as evidenced by holding blood pressure medications without hold parameters or documented notification to the physician.
  3. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide interventions to enhance vision for 1 of 2 sampled residents, Resident #32, reviewed for vision.
  4. 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) February 28, 2025
    Inspectors wroteBased on policy review, observation, interview, and record review, the facility failed to report an Influenza outbreak to the Florida Department of Health (DOH) for 1 of 2 sampled residents, Resident #197, reviewed for Influenza by lack of reporting to DOH.
October 26, 2023Standard inspection · 7 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) November 25, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents received showers on her scheduled shower days and/or per the resident's request for 1 of 4 sampled residents reviewed for Choices, Resident #38.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure accuracy of the Minimum Data Set (MDS) assessment related to medication use for 1 of 5 sampled residents, Resident #14.
  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) November 25, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure care plans were initiated to reflect diuretic usage for 1 of 5 sampled residents, Resident #10.
  4. 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) November 25, 2023
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure proper care and services for 1 of 1 sampled resident, Resident #38, who received medications and nutrition via an enteral tube (feeding tube), as evidenced by failure to check for placement of the PEG (percutaneous endoscopic gastrostomy / surgical procedure for placement of a feeding tube), failure to administer medication via gravity, and failure to utilize purified water, as per facility policy.
  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) November 25, 2023
    Inspectors wroteBased on observation, interview, record review, and policy review, failed to ensure proper care and services and properly assess 2 of 2 sampled residents, Residents #20 and #107, during respiratory treatments via a nebulizer (a device for administering a medication by spraying a fine mist), failed to document findings in the record; and failed to change the nebulizer tubing weekly for 1 of 2 sampled resident, Resident #107, as per facility policy.
  6. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to timely assess and treat a newly voiced complaint of pain for 1 of 1 sampled resident, Resident #14, who voiced pain on 08/17/23, after having not taking any pain medications since 08/11/23, and staff did not thoroughly assess the location or underlying cause of the new pain, and the resident was diagnosed with a fracture on 08/24/23.
  7. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on record review and interview, the facility failed to follow through with an ordered laboratory test for 1 of 1 sampled resident, Resident #3.
July 1, 2022Standard inspection · 4 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 25, 2022
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure disinfection of a used blood glucose devise, as per manufacturer's instructions, by 1 of 2 nurses observed (Staff D, a Registered Nurse/RN), after obtaining the blood sugar reading of Resident #103. The facility failed to ensure proper hand washing and infection control standards during the medication pass observation with 2 of 5 staff observed (Staff D, an RN and Staff C, a Licensed Practical Nurse/LPN) while providing medications to Residents #103, #153 and #28. The facility failed to follow their admission policy related to isolation for 1 of 2 current residents not up to date with their COVID-19 vaccinations (Resident #102). The facility failed to ensure proper infection control practices during wound care observation for 1 of 2 sampled residents (Resident #26).
  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) July 25, 2022
    Inspectors wroteBased on observation, record review, interview, and policy review, the facility failed ensure proper urinary catheter care and maintenance for 1 of 2 sampled residents, Resident #7, that included: Proper positioning and anchoring of the urinary catheter for Resident #7 was not maintained and Resident #7 was admitted to the facility with an indwelling urinary catheter and the facility failed to assess for and attempt a prompt removal of the catheter.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2022
    Inspectors wroteBased on observation interview and record review, the facility failed to ensure accurate documentation between the controlled medication utilization record and the medication administration record for 2 of 4 sampled residents reviewed during the medication storage process (Residents #4 and #8).
  4. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2022
    Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure proper storage of medications by 1 of 4 nurses observed during the medication pass observations (Staff D, a Registered Nurse/RN),as evidenced by: Insulin for Resident #103 was left on the medication cart unattended; failed to ensure 1 of 3 medication carts (Wing A) was locked when unattended; and the Wing A medication cart was noted to be unlocked and unattended on three different observations, by two staff nurses during the survey (Staff E, an RN and Staff F, an RN) . There were 13 independently ambulatory residents residing in the facility at the time of the survey, two of whom resided on the A wing. The census upon entrance was 53.

Fire safety inspections

2 fire safety citations on file: 1 on February 6, 2025, 1 on July 1, 2022.

Every fire safety citation2 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 6, 2025 · Corrected (the home has a date of correction)
  2. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 1, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

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

Staffing

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

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.493.823.86
Registered nurses1.020.730.69
All nursing staff on weekends3.303.493.42
Nurse aides2.08
Licensed practical nurses0.39
Nursing staff turnover (share who left in a year)23.3%41.4%45.8%
Registered nurse turnover43.8%46.0%42.9%
Administrators who left0

CMS expects 3.70 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 3.56 on weekdays and 3.30 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.49 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.491.023.563.30 3.2%0 of 9045
Oct to Dec 20253.861.153.983.55 0.0%0 of 9241
Jul to Sep 20253.881.134.063.45 0.0%0 of 9241
Apr to Jun 20253.791.193.983.32 0.0%0 of 9142
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
13.68.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.50.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
9.22.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.21.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.49.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.84.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.98.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.726.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.59.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.72.11.9
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: LIFESPACE COMMUNITIES INC. CMS links this home to Lifespace Communities, a group of 15 nursing homes averaging 4.4 stars overall.

NameRoleTypeShareSince
Lifespace Communities Inc5% or greater direct ownership interestOrganization100%07/08/2009
Lifespace, Inc.5% or greater indirect ownership interestOrganization100%07/09/2012
Geist, MarciW-2 managing employeeIndividual10/04/2021
Blackford, GaryCorporate directorIndividual12/01/2021
Darkey-Hrinya, JoyceCorporate directorIndividual01/15/2018
Dutra, AnaCorporate directorIndividual07/18/2016
Fields, VenitaCorporate directorIndividual01/15/2018
Jensen, ClausCorporate directorIndividual04/26/2023
McDonough, AmyCorporate directorIndividual04/26/2023
Salamino, JeniferCorporate directorIndividual04/26/2023
Sokeye, JonathanCorporate directorIndividual12/01/2021
Spangler, PatrickCorporate directorIndividual07/18/2016
Stretch, ClydeCorporate directorIndividual04/26/2023
Williams, DavidCorporate directorIndividual12/01/2021
Yanofsky, NealCorporate directorIndividual07/18/2016
Gorman, JosephCorporate officerIndividual07/26/2022
Harshfield, NicholasCorporate officerIndividual07/01/2020
Jantzen, JesseCorporate officerIndividual04/01/2020
Kresse, NikkiCorporate officerIndividual04/19/2021
Pope, ErinCorporate officerIndividual07/25/2022
Lifespace Communities IncOperational/managerial controlOrganization04/24/2007

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 6 problems in this area, most recently on February 6, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 6, 2025: "Ensure each resident receives an accurate assessment."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 6, 2025: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 1, 2022: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.30 hours per resident per day, below the Florida average of 3.49.

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Florida contacts for a concern about a nursing home

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Common questions

What is Waterford, the's Medicare star rating?
CMS rates Waterford, the 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Waterford, the get at its last inspection?
4 health deficiencies at the standard inspection on February 6, 2025. The Florida average is 7.1.
Has Waterford, the been fined?
CMS lists no fines in the last three years.
Does Waterford, the 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 Waterford, the?
CMS lists 21 owners and managers, and links the home to Lifespace Communities. Legal business name: LIFESPACE COMMUNITIES INC.

Sources

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