Buffalo Crossings Healthcare & Rehabilitation Cen
The Villages, Florida · CCN 106114
8 surveys since 2018. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 33
- Surveys
- 8
- Harm or worse
- 5
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Sumter
- Medicare-certified since
- 2017
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 293 for-profit facilities of 100–127 beds in Florida.
Last survey on record
Jul 17, 2025
480 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.11 | 3.57 |
| Registered-nurse hours per resident day | 0.52 | — |
| Annual nurse turnover | 47.0% | 44.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J15.9% | K423.5% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1270.6% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8423×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Buffalo Crossings Healthcare & Rehabilitation Cen, in the surveyor’s own words.
- Immediate jeopardy, patternF600Dec 16, 2022
Based on observation, interview, and record review, the facility failed to ensure all residents were free from medical neglect. The facility failed to provide central venous catheter dressing changes and failed to ensure licensed practical nurses had the appropriate skills and competencies to administer intravenous medications via central venous access devices for 3 of 4 reviewed residents with central venous access devices, Residents #71, #289 and #297. The lack of appropriate dressing changes to assess the insertion site for signs and symptoms of infection, fluid leaking, redness, pain, tenderness, and swelling can result in an increased risk of infection at the insertion site, sepsis (a life-threatening infection in the blood), damage to the vein, phlebitis (inflammation of a vein) or… […]
- Immediate jeopardy, patternF726Dec 16, 2022
Based on observation, interview, and record review, the facility failed to ensure licensed practical nurses had the appropriate skills and competencies to administer intravenous (IV) medications via central venous access devices for 3 of 4 reviewed residents with central venous access devices, Residents #71, #289 and #297. The lack of IV certification and validation of competency for IV infusion can result in an increased risk of infection, damage to veins and injection sites, an air embolism, phlebitis, and blood clots. Phlebitis can cause blood clots, which can block important blood vessels, causing tissue damage or even be life threatening. […]
- Immediate jeopardy, patternF835Dec 16, 2022
Based on observation, interview, and record review, the facility administration failed to ensure the highest practicable physical wellbeing of each resident by not assuming full responsibility for the day-to-day operations of the facility. The facility failed to provide central venous catheter dressing changes and failed to ensure licensed practical nurses had the appropriate skills and competencies to administer intravenous medications via central venous access devices for 3 of 4 reviewed residents with central venous access devices, Residents #71, #289 and #297. […]
- Immediate jeopardy, patternF867Dec 16, 2022
Based on observation, interview, and record review, the facility failed to implement their Quality Assessment and Process Improvement (QAPI) policy and procedure to identify and correct quality deficiencies related to the following: ensuring residents with central venous catheters received dressing changes as ordered and ensuring licensed practical nurses had the appropriate skills and competencies to administer intravenous medications via central venous access devices for 3 of 4 reviewed residents with central venous access devices, Residents #71, #289 and #297. […]
- Immediate jeopardy, isolatedF684Dec 16, 2022
Based on observation, interview, and record review, the facility failed to ensure that all residents received treatment and care for peripherally inserted central catheters in accordance with professional standards of practice by failing to provide central venous dressing changes for 3 of 4 reviewed residents with central venous access devices, Residents #71, #289 and #297. The lack of appropriate dressing changes to assess the insertion site for signs and symptoms of infection, fluid leaking, redness, pain, tenderness, and swelling can result in an increased risk of infection at the insertion site, sepsis (a life-threatening infection in the blood), damage to the vein, phlebitis or blood clots, which can result in the likelihood of increased risk of serious harm and/or death. […]
Read 20 findings in full →The most serious and the most recent: 20 of 33 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 17, 2025Standard7 findings
- Jul 22, 2024Complaint1 finding
- Apr 17, 2024Standard3 findings
- Dec 16, 2022Standard6 findings · 5 harm
- Jun 4, 2021Standard3 findings
- Feb 18, 2020Complaint1 finding
- Oct 24, 2019Standard9 findings
- Oct 4, 2018Standard3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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