Healthcare and Rehab of Sanford
Sanford, Florida · CCN 105539
24 surveys since 2010. 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
- 96
- Surveys
- 24
- 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
- 114
- Ownership
- Non profit - Other
- Chain
- Independent
- County
- Seminole
- Medicare-certified since
- 1986
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 2
- 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 43 not-for-profit facilities of 100–127 beds in Florida.
Last survey on record
Dec 10, 2025
334 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 | 3.23 | 3.59 |
| Registered-nurse hours per resident day | 0.53 | — |
| Annual nurse turnover | 43.8% | 37.9% |
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 | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1066.7% | E320.0% | F213.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5842×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 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.
- F8672×
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Healthcare and Rehab of Sanford, in the surveyor’s own words.
- Immediate jeopardy, isolatedF578Jan 6, 2023
Based on interview, and record review, the facility failed to honor advanced directives for a Do Not Resuscitate Order (DNRO) for 1 of 7 residents reviewed for advanced directives, (#1). This failure contributed to resident #1 receiving cardiopulmonary resuscitation (CPR) despite her explicit wishes for a natural, dignified death and placed her at likelihood for serious injury / impairment / prolonged death. While resident #1 suffered resuscitation attempts including chest compressions, there was likelihood she experienced severe pain, broken bones, organ damage and a prolonged dying process. On [DATE] at approximately 8:30 AM, resident #1 was found unresponsive with no heart rate and no respirations. […]
- Immediate jeopardy, isolatedF726Jan 6, 2023
Based on interview, and record review, the facility failed to ensure licensed nursing staff had the appropriate competency and skill sets to correctly identify a resident's medical record to ensure a Do Not Resuscitate order (DNRO) was honored for 1 of 7 residents reviewed for advanced directives, (#1). On [DATE] at approximately 8:30 AM, resident #1 was found unresponsive with no heart rate and no respirations. The nurse failed to identify the resident by name and instead identified her by the incorrect bed number to check the code status. Another resident's code status was reviewed in error and Cardiopulmonary Resuscitation (CPR) was initiated for resident #1. […]
- Immediate jeopardy, isolatedF600Dec 20, 2022
Based on interviews, and record review, the facility neglected to ensure a replacement tracheostomy set was available at the bedside for resident care needs, neglected to locate a new replacement tracheostomy set for emergency tracheostomy tube reinsertion after dislodgement and failed to complete a thorough investigation for neglect for tracheostomy care and services for 1 of 2 residents reviewed for tracheostomy care, (#2). On 12/04/22 at approximately 5:30 PM, resident #2 removed his tracheostomy tube. The facility failed to keep a replacement tracheostomy set at his bedside and staff failed to obtain a new tracheostomy set from the supply room to reinsert the tracheostomy tube. […]
- Immediate jeopardy, isolatedF695Dec 20, 2022
Based on interview, and record review, the facility failed to provide tracheostomy care and services per facility policy and accepted standards of practice for 1 of 2 residents reviewed for tracheostomy care, (#2). On 12/04/22 at approximately 5:30 PM, resident #2 removed his tracheostomy tube. The facility failed to keep a replacement tracheostomy set at his bedside and staff failed to obtain a new tracheostomy set from the supply room to reinsert the tracheostomy tube. The resident's assigned nurse washed the dislodged tracheostomy tube in the sink with the intention of reinsertion. If this non sterile tracheostomy tube had been reinserted into the resident, there was reasonable likelihood of respiratory infection, sepsis and/or death. […]
- Immediate jeopardy, isolatedF726Dec 20, 2022
Based on interview, and record review, the facility failed to ensure licensed nurses caring for residents with tracheostomy were educated and demonstrated competency related to tracheostomy care for 1 of 2 residents with a tracheostomy, (#2). On 12/04/22 at approximately 5:30 PM, resident #2 removed his tracheostomy tube. The facility failed to keep a replacement tracheostomy set at his bedside and staff failed to obtain a new tracheostomy set from the supply room to reinsert the tracheostomy tube. The resident's assigned nurse washed the dislodged tracheostomy tube in the sink with the intention of reinsertion. If this non sterile tracheostomy tube had been reinserted into the resident, there was reasonable likelihood of respiratory infection, sepsis and/or death. […]
Read 20 findings in full →The most serious and the most recent: 20 of 96 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 10, 2025Complaint3 findings
- Apr 30, 2025Standard1 finding
- Oct 12, 2023Standard5 findings
- Jan 6, 2023Complaint2 findings · 2 harm
- Dec 20, 2022Complaint4 findings · 3 harm
- Dec 15, 2021Standard6 findings
- Mar 23, 2021Complaint2 findings
- Mar 11, 2020Standard9 findings
Show the 16 earlier surveys
- Jan 21, 2020Complaint4 findings
- Oct 12, 2019Complaint1 finding
- Dec 6, 2018Standard11 findings
- Aug 10, 2017Standard7 findings
- Jul 21, 2016Standard2 findings
- May 2, 2016Complaint2 findings
- May 29, 2015Standard5 findings
- Aug 26, 2014Complaint1 finding
- Mar 27, 2014Standard1 finding
- Sep 30, 2013—2 findings
- Apr 18, 2013—9 findings
- Feb 22, 2013—2 findings
- Mar 2, 2012—11 findings
- Nov 1, 2011—3 findings
- Jan 27, 2011—2 findings
- Dec 16, 2010—1 finding
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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