Deficiency Index

Pensacola Nursing & Rehabilitation Center

Pensacola, Florida · CCN 105935

31 surveys since 2010. The first finding at harm level was recorded in 2018.

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

Citations on record
158
Surveys
31
Harm or worse
9
Immediate jeopardy
8
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file26/31

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
ASTON HEALTH
County
Escambia
Medicare-certified since
1997

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
2

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

Jun 25, 2026

137 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 day3.453.57
Registered-nurse hours per resident day0.73—
Annual nurse turnover67.0%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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2291.7%E28.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 24 of the 158 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F6562×

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

  • F6842×

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

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 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 Pensacola Nursing & Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF600Apr 20, 2023

    Based on observation, record reviews, staff interviews, resident interviews, and facility policy review, the facility failed to honor resident rights to be free from or the likelihood of physical and sexual abuse for 6 of 20 sampled residents. (Resident #1, #8, #9, #10, #16, #17). This failure allowed Resident #2, with known sexual behavior and cognitive impairment, to expose his genitals to Resident #1, have a physical altercation with Resident #8, enter the room of Resident #9 and #10 and get into the occupied bed of Resident #9 while unclothed, and wander in the rooms of Resident #16 and Resident #17. The situation resulted in a finding of Immediate Jeopardy. The facility's Regional Administrator was notified of the findings of Immediate Jeopardy on 4/19/23 at approximately 1:30 PM. […]

  • Immediate jeopardy, patternF607Apr 20, 2023

    Based on observation, record reviews, staff interviews, resident interviews, and facility policy review, the facility failed to implement their policies regarding sexual and physical abuse for 4 of 4 sampled residents. (Resident #1, #2, #8, and #9) This failure allowed Resident #2, with known sexual behavior and cognitive impairment, to expose his genitals to Resident #1, have a physical altercation with Resident #8, and enter the occupied bed of Resident #9 unclothed. The allegations of physical and sexual abuse were not reported to the State Survey Agency or abuse hotline, or thoroughly investigated. The facility failed to implement effective interventions to protect vulnerable residents. The situation resulted in a finding of Immediate Jeopardy. […]

  • Immediate jeopardy, patternF609Apr 20, 2023

    Based on observation, record reviews, staff interviews, resident interviews, and facility policy review, the facility failed to report immediately all allegations of abuse to the State Survey Agency and adult protective services in accordance with facility policy, involving 4 of 4 sampled residents. (Resident #1, #2, #8, and #9). Failure to report allegations of abuse to the appropriate authorities placed residents at risk for further abuse. The situation resulted in a finding of Immediate Jeopardy. The facility's Regional Administrator was notified of the findings of Immediate Jeopardy on 4/19/23 at approximately 1:30 PM. The Administrator was unavailable and did not return until 4/20/23. […]

  • Immediate jeopardy, patternF610Apr 20, 2023

    Based on observation, record reviews, staff interviews, resident interviews, and facility policy review, the facility failed to thoroughly investigate and report the results of investigations of all sexual and physical abuse allegations to the state survey agency within 5 working days of the alleged violations involving 4 of 4 sampled residents (Resident #1, #2, #8, and #9). The failure to thoroughly investigate, report allegations of abuse to the authorities, and implement effective interventions placed residents in the facility at risk for physical and/or sexual abuse. The situation resulted in a finding of Immediate Jeopardy. The facility's Regional Administrator was notified of the findings of Immediate Jeopardy on 4/19/23 at approximately 1:30 PM. […]

  • Immediate jeopardy, patternF835Apr 20, 2023

    Based on observations, record review, staff interviews, Administrator job description review, and policy review, the facility failed to utilize its resources effectively, provide adequate training, report findings to state and federal agencies as required by law and implement facility policies to ensure residents within the facility are properly assessed and treated when exhibiting signs and symptoms of sexual tendencies. The facility further failed to ensure other residents in the facility were free from any form of physical or sexual abuse from Resident #2 and to ensure that staff are aware of the resident's behaviors and followed facility policy for reporting. This has the potential to affect all residents in the facility who encounter the resident. […]

Read 29 findings in full →The most serious and the most recent: 29 of 158 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 25, 2026Complaint2 findings
  • Apr 9, 2026Standard and complaint13 findings
  • Feb 19, 2026Complaint2 findings
  • Jan 9, 2025Standard5 findings
  • Sep 21, 2023Standard2 findings
  • Apr 20, 2023Complaint6 findings · 6 harm
  • May 19, 2022Standard3 findings · 2 harm
  • Apr 28, 2022Infection control1 finding
Show the 23 earlier surveys
  • Nov 4, 2021Complaint1 finding
  • May 6, 2021Standard and complaint2 findings
  • Oct 25, 2019Standard6 findings
  • Jul 3, 2019Complaint1 finding
  • Oct 5, 2018Standard11 findings · 1 harm
  • Apr 5, 2018Complaint2 findings
  • Jul 21, 2017Standard and complaint8 findings
  • Oct 21, 2016Standard11 findings
  • Sep 27, 2016Complaint2 findings
  • Aug 24, 2016Complaint4 findings
  • Apr 7, 2016Complaint1 finding
  • Mar 31, 2016Complaint2 findings
  • Jul 31, 2015Standard17 findings
  • Jan 13, 2015Complaint1 finding
  • Nov 22, 2014Standard and complaint14 findings
  • Aug 21, 2014Complaint2 findings
  • Aug 5, 2014Complaint3 findings
  • Dec 13, 2013—7 findings
  • Sep 13, 2013—3 findings
  • Feb 8, 2013Standard11 findings
  • Jan 13, 2012—9 findings
  • Aug 30, 2011—1 finding
  • Dec 16, 2010—5 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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