The 10 Worst Nursing Homes in Florida

Updated as of April 01, 2024

A list of the ten worst skilled nursing homes in Florida. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Florida.

Compare the Worst Nursing Homes in Florida

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Florida skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Florida. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

To see a more detailed analysis of the performance on skilled nursing facilities in Florida, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home Rating
Groves Center
512 S 11TH ST
LAKE WALES, FL
733.00
/
Siesta Key Health and Rehabilitation Center
4602 NORTHGATE COURT
SARASOTA, FL
699.00
Rating Not Available
The Bristol Care Center
1818 E FLETCHER AVE
TAMPA, FL
604.50
/
Rehabilitation and Healthcare Center of Tampa
4411 N HABANA AVE
TAMPA, FL
529.17
Gulfport Nursing Center
1430 PASADENA AVE S
PASADENA, FL
523.50
/
Capri Health and Rehabilitation Center
1450 EAST VENICE AVENUE
VENICE, FL
492.50
/
Gulf Shores Care Center
220 NINTH STREET
PORT SAINT JOE, FL
451.67
Pensacola Nursing and Rehabilitation Center
235 WEST AIRPORT BLVD
PENSACOLA, FL
433.00
/
Park Meadows Healthcare and Rehabilitation Center
3250 SW 41ST PLACE
GAINESVILLE, FL
407.50
/
Abbey Rehabilitation and Nursing Center
7101 DR MARTIN LUTHER KING JR ST N
SAINT PETERSBURG, FL
340.00
/

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Florida

Every month, we rank all of the skilled nursing facilities in Florida. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Florida is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Florida nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Florida nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Florida

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Florida have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

How to Report a Nursing Homes in Florida

If you run into an issue at a Florida nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Florida nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Florida Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Florida go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Miami

  • South Dade Nursing and Rehabilitation Center (209.333)
    • 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. (2023-04-14)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-04-14)
  • Pines Nursing Home (171.167)
    • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (2024-01-23)
    • Ensure each resident receives an accurate assessment. (2024-01-23)
  • Coral Reef Subacute Care Center LLC (120.667)
    • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2024-02-18)
    • Assess the resident when there is a significant change in condition (2024-02-18)
  • Miami Nursing Center, LLC (115.667)
    • Make sure that a working call system is available in each resident's bathroom and bathing area. (2023-11-30)
    • 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. (2023-07-31)
  • Shoreside Health and Rehabilitation Center (79.833)
    • Reasonably accommodate the needs and preferences of each resident. (2023-01-13)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-01-13)
  • Unity Healthcare and Rehabilitation Center (73.167)
    • Ensure each resident receives an accurate assessment. (2024-03-16)
    • 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. (2024-03-16)
  • Gardens Care Center (71.333)
    • 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. (2023-11-03)
    • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (2023-11-03)
  • Windridge Nursing and Rehabilitation Center (65.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-10-01)
    • Ensure each resident receives an accurate assessment. (2023-10-01)
  • West Gables Health Care Center (60.667)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-02-04)
    • Provide safe, appropriate dialysis care/services for a resident who requires such services. (2023-02-04)
  • Miami Jewish Health Systems, Inc (60.667)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-05-12)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-05-12)

Worst Nursing Homes in Tampa

  • The Bristol Care Center (604.5)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-01-12)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-01-12)
  • Rehabilitation and Healthcare Center of Tampa (529.167)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-01-14)
    • Provide safe, appropriate pain management for a resident who requires such services. (2024-01-14)
  • Aspire at The Bay (195)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-02-09)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-02-09)
  • Carrollwood Care Center (123)
    • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2023-03-23)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-23)
  • Fletcher Health and Rehabilitation Center (105)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-11-28)
    • Ensure each resident receives an accurate assessment. (2023-07-19)
  • Whispering Oaks (100.667)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-09-24)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-09-22)
  • Concordia Village of Tampa (90.333)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-08-23)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2022-08-23)
  • Excel Care Center (65.667)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2024-02-14)
    • Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2024-02-14)
  • Bayshore Pointe Nursing and Rehab Center (64)
    • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2023-10-08)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-10-08)
  • Gandy Fl Opco, LLC (56.667)
    • Have properly installed hallway dispensers for alcohol-based hand rub. (2023-04-06)
    • Establish roles under a Waiver declared by secretary. (2023-04-06)

Worst Nursing Homes in Orlando

  • South Orange Health and Rehabilitation Center (167.333)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-08-10)
    • Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2023-08-10)
  • Rosewood Health and Rehabilitation Center (136)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-02-11)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-02-11)
  • Bedrock Rehabilitation and Nursing Center at Orlan (126.833)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-02-15)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-02-15)
  • Rio Pinar Health Care (117.5)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-02-11)
    • Ensure staff are vaccinated for COVID-19 (2023-05-06)
  • Orlando Health and Rehabilitation Center (106)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2023-08-11)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2023-06-16)
  • Courtyards of Orlando Care Center and Rehab (91)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-05-26)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2023-05-26)
  • Guardian Care Nursing and Rehabilitation Center (61.333)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-09-01)
    • Ensure medication error rates are not 5 percent or greater. (2023-09-01)
  • Delaney Park Health and Rehabilitation Center (49.667)
    • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (2023-06-26)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2023-06-26)
  • Adventhealth Care Center Orlando North (48)
    • 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. (2023-10-14)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2023-10-14)
  • Avante at Orlando Inc (39.333)
    • Ensure staff are vaccinated for COVID-19 (2022-05-12)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2021-11-24)

Worst Nursing Homes in Jacksonville

  • Arcadia Care Jacksonville (246.5)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-01-12)
    • Install proper backup exit lighting. (2024-01-08)
  • Palm Garden of Jacksonville (187.5)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-10-14)
    • Reasonably accommodate the needs and preferences of each resident. (2023-10-14)
  • Premier Nursing and Rehabilitation Center (169)
    • Have proper medical gas storage and administration areas. (2023-05-19)
    • Install a fire alarm system that can be heard throughout the facility. (2023-05-19)
  • Ascension Living St. Catherine Laboure' Place (166.833)
    • Install an approved automatic sprinkler system. (2024-02-23)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2024-02-13)
  • The Grove Health and Rehab Ctr (135.667)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-12-27)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-11-27)
  • Woodland Hills Healthcare and Rehabilitation (114.667)
    • 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. (2023-12-20)
    • Reasonably accommodate the needs and preferences of each resident. (2023-12-20)
  • Twin Oaks Health and Rehabilitation Center (112.5)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-01-19)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-01-19)
  • Fouraker Hills Rehab and Nursing Center (111)
    • Keep residents' personal and medical records private and confidential. (2024-02-12)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-02-12)
  • Jacksonville Skld Nur and Rehab (102.333)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-01-11)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-06-06)
  • Saints Care Center (100.333)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-11-07)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-11-07)

Worst Nursing Homes in Sarasota

  • Siesta Key Health and Rehabilitation Center (699)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-03-23)
    • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2024-03-23)
  • The Meadows Center For Nursing and Healing (246.833)
    • 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. (2023-08-07)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-08-07)
  • Brookdale Palmer Ranch Snf (123.333)
    • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2023-06-11)
    • Develop and maintain an Emergency Preparedness Program (EP). (2023-06-11)
  • Beneva Lakes Healthcare and Rehabilitation Center (123.167)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-12-02)
    • 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. (2023-12-02)
  • Sarasota Health and Rehabilitation Center (112.333)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-02-25)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2022-09-16)
  • Aspire at Sarasota (98)
    • Ensure proper usage of power strips and extension cords. (2024-03-13)
    • Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. (2024-03-13)
  • Birchwood Health and Rehabilitation Center (84)
    • Ensure that residents are free from significant medication errors. (2023-11-12)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-11-12)
  • Creekside Health and Rehabilitation Center (59.667)
    • Provide activities to meet all resident's needs. (2022-09-11)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2022-09-11)
  • Hawthorne Center For Rehab and Healing of Sarasota (38)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-05-11)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2022-06-12)
  • Crescent Health and Rehabilitation Center (38)
    • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2024-03-17)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2024-03-17)

Worst Skilled Nursing Homes in Other States

See the worst skilled nursing homes in other states: