Deficiency Index

Dade City Health and Rehabilitation Center

Dade City, Florida · CCN 105320

21 surveys since 2011. 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
100
Surveys
21
Harm or worse
8
Immediate jeopardy
6
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/21

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
SIMCHA HYMAN & NAFTALI ZANZIPER
County
Pasco
Medicare-certified since
1980

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
3

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

Dec 17, 2025

327 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.513.57
Registered-nurse hours per resident day0.25—
Annual nurse turnover44.3%44.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$84,812 across 5 penalties
Payment denials
1
Special focus
SFF Candidate
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ611.1%K—L—
Actual harmG11.9%H—I—
No harm, potential for more than minimalD3259.3%E1120.4%F47.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 54 of the 100 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5854×

    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.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5782×

    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.

  • F5832×

    Keep residents' personal and medical records private and confidential.

In the surveyor’s words

From the most serious findings on record at Dade City Health and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF578Dec 17, 2025

    Based on interviews and record review, the facility failed to honor a resident's decision to formulate an advance directive and did not ensure a residents' end-of-life wishes for Do Not Resuscitate (DNR) was honored for one (#3) of three residents sampled.On [DATE], when staff failed to verify Resident #3's resuscitation code status and performed Cardiopulmonary Resuscitation (CPR) against the documented resident's wishes. Resident #3 had a fully executed Do Not Resuscitate (DNR) order in the medical record dated [DATE]. The facility's failure to honor Resident #'s DNR status deprived her of a dignified death and likely resulted in severe pain and organ damage. Additionally, Resident #3 could not express her reaction to this event. […]

  • Immediate jeopardy, isolatedF600Dec 17, 2025

    Based on interviews and record review, the facility failed to protect the resident's right to be free from neglect for one resident (#3) out of three residents sampled.On [DATE], when staff failed to verify Resident #3's resuscitation code status and performed Cardiopulmonary Resuscitation (CPR) against the documented resident's wishes. Resident #3 had a fully executed Do Not Resuscitate (DNR) order in the medical record dated [DATE]. The facility's failure to honor Resident #3's DNR status deprived her of a dignified death and likely resulted in severe pain and organ damage. Additionally, Resident #3 could not express her reaction to this event. Applying the reasonable person concept, Resident #3 would likely experience serious psychosocial harm by being resuscitated against her wishes. […]

  • Immediate jeopardy, isolatedF678Dec 17, 2025

    Based on review of the facility policy, interviews and record review, the facility failed to ensure the residents' wishes were honored related to Do Not Resuscitate (DNR) orders for one (#3) of three residents sampled.On [DATE], when staff failed to verify Resident #3's resuscitation code status and performed Cardiopulmonary Resuscitation (CPR) against the documented resident's wishes. Resident #3 had a fully executed Do Not Resuscitate (DNR) order in the medical record dated [DATE]. This failure resulted in the determination of Immediate Jeopardy occurring on [DATE]. During the survey, the survey team verified the implementation of the facility's immediate actions to remove the Immediate Jeopardy, and the Immediate Jeopardy was removed as of [DATE]. […]

  • Immediate jeopardy, isolatedF726Dec 17, 2025

    Based on record review, interviews, and policy review, the facility failed to ensure nursing staff were competent in identifying and honoring cardiopulmonary resuscitation wishes for one (#3) of three residents sampled On [DATE], when staff failed to verify Resident #3's resuscitation code status and performed Cardiopulmonary Resuscitation (CPR) against the documented resident's wishes. Resident #3 had a fully executed Do Not Resuscitate (DNR) order in the medical record dated [DATE]. This failure resulted in the determination of Immediate Jeopardy occurring on [DATE]. During the survey, the survey team verified the implementation of the facility's immediate actions to remove the Immediate Jeopardy, and the Immediate Jeopardy was removed as of [DATE]. […]

  • Immediate jeopardy, isolatedF600Oct 6, 2023

    Based on observations, interviews, and record review, the facility failed to protect the residents' right to be free from neglect to ensure two residents (#10, #12) out of 11 residents at risk, with known neurocognitive disorders and/or dementia and a history of wandering and exit seeking, was provided supervision and services to prevent elopement. The facility neglected to maintain an exit door alarm system in proper operation or implement alternate methods to prevent elopements since 08/02/2023. The facility nursing staff neglected to ensure the safety of Resident #10, from approximately 12:40 p.m. until 1:37 p.m. or approximately 57 minutes on 09/02/2023. Resident #10 exited the front door unobserved by staff. […]

Read 23 findings in full →The most serious and the most recent: 23 of 100 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 17, 2025Complaint4 findings · 4 harm
  • Jul 15, 2025Complaint3 findings
  • Nov 18, 2024Complaint3 findings
  • Apr 25, 2024Standard and complaint15 findings · 1 harm
  • Oct 6, 2023Complaint9 findings · 2 harm
  • Mar 21, 2023Complaint1 finding
  • Jul 20, 2022Complaint2 findings
  • May 9, 2022Complaint1 finding · 1 harm
Show the 13 earlier surveys
  • Feb 11, 2022Standard and complaint10 findings
  • Nov 19, 2020Standard11 findings
  • Jul 29, 2020Complaint1 finding
  • Jan 31, 2019Standard10 findings
  • Dec 29, 2017Standard and complaint9 findings
  • Jan 6, 2017Standard and complaint4 findings
  • Sep 11, 2015Standard1 finding
  • Jun 19, 2014Standard4 findings
  • Nov 20, 2013—1 finding
  • Apr 18, 2013—5 findings
  • Feb 16, 2012—3 findings
  • Mar 7, 2011—1 finding
  • Jan 6, 2011—2 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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