Deficiency Index

Grove Healthcare and Rehabilitation Center and Reh

Hernando, Florida · CCN 106036

19 surveys since 2010. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
103
Surveys
19
Harm or worse
3
Immediate jeopardy
3
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/19

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
GOLD FL TRUST II
County
Citrus
Medicare-certified since
2001

CMS ratings

Overall
3
Health inspection
2
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 293 for-profit facilities of 100–127 beds in Florida.

Last survey on record

Jun 19, 2025

508 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 day3.893.57
Registered-nurse hours per resident day0.40—
Annual nurse turnover51.7%44.5%

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

Enforcement

Fines
$167,954 across 1 penalty

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 jeopardyJ310.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2480.0%E310.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 30 of the 103 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F6843×

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

  • F8423×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

In the surveyor’s words

From the most serious findings on record at Grove Healthcare and Rehabilitation Center and Reh, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF684May 2, 2025

    Based 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 [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. […]

  • Immediate jeopardy, isolatedF835May 2, 2025

    Based 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. […]

  • Immediate jeopardy, isolatedF867May 2, 2025

    Based 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. […]

  • No harm, potential for more than minimal, widespreadF812May 20, 2021

    Based on observation, interview, and record review, the facility failed to ensure food was prepared and served in accordance with professional standards for food service safety. Findings: 1. During a tour of the kitchen on 5/17/2021 at 10:45 AM, with the Certified Dietary Manager (CDM), observation of the mixer showed it was wrapped tightly in clear wrap. The CDM unwrapped the mixer. There were multiple areas on the mixer that had food particles and there was splashed food debris on the base of the mixer and on the bowl portion of the mixer. The meat slicer was observed to have a cover on it. […]

  • No harm, potential for more than minimal, patternF761Mar 28, 2024

    Based 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. Findings include: During an observation of 100 Hall Medication Cart on [DATE] at 9:35 AM with Staff C, License Practical Nurse (LPN), there were one unopened Humalog vial with sticker to refrigerate, one medication cup with a white creamy substance with no identifier, one opened bottle of Brimonidine Tart 0.2% ophthalmic drops with no opened or expiration date, and one opened bottle of Dorzolamide 2% ophthalmic drops with no opened or expiration date. […]

Read 20 findings in full →The most serious and the most recent: 20 of 103 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 19, 2025Standard9 findings
  • May 2, 2025Complaint4 findings · 3 harm
  • Jun 28, 2024Complaint1 finding
  • Mar 28, 2024Standard8 findings
  • Nov 18, 2022Standard8 findings
  • May 20, 2021Standard3 findings
  • Oct 17, 2019Standard5 findings
  • Nov 29, 2018Standard3 findings
Show the 11 earlier surveys
  • Aug 24, 2017Standard7 findings
  • Nov 3, 2016Standard4 findings
  • Jun 2, 2016Complaint2 findings
  • May 31, 2016Complaint2 findings
  • Jul 9, 2015Standard6 findings
  • Oct 1, 2014Complaint2 findings
  • Jun 27, 2014Standard and complaint12 findings
  • Feb 25, 2014—1 finding
  • Mar 28, 2013—7 findings
  • Jan 26, 2012—12 findings
  • Dec 3, 2010—7 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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