Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ARBOR TRAIL REHAB AND SKILLED NURSING CENTER

INVERNESS, FL · 116 certified beds · Last Life Safety survey April 30, 2025

CMS Certification Number 105703 · first certified April 1990

Ownership

Operated by SOVEREIGN HEALTHCARE HOLDINGS · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within FL

21 citations — more than 97% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to March 2027. This facility’s last Life Safety survey was April 2025. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 21 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility21FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
142022-0832024-0242025-04
Citations at each Life Safety survey
Survey dateCitations
August 25, 202214
February 7, 20243
April 30, 20254

Most-cited tags

Most-cited tags at this facility
K-03533K-09142E-00041K-09231E-00321E-00151K-07111E-00331
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-04-30
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22025-04-30
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-04-30
K-0923Have proper medical gas storage and administration areas.12025-04-30
E-0032Provide primary/alternate means for communication.12022-08-25
E-0015Address subsistence needs for staff and patients.12022-08-25
K-0711Provide a written emergency evacuation plan.12022-08-25
E-0033Establish methods for sharing information.12022-08-25

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 8
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies8
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 30, 2025 — 4 citations

Citations issued on April 30, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 30, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (May 30, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 30, 2025)

February 7, 2024 — 3 citations

Citations issued on February 7, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 12, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 12, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 12, 2024)

August 25, 2022 — 14 citations

Citations issued on August 25, 2022
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (September 16, 2022)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (September 16, 2022)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (September 16, 2022)
E-0033Establish methods for sharing information.Deficient, Provider has date of correction (September 16, 2022)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (September 16, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (September 16, 2022)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 16, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 16, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 16, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 16, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 16, 2022)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (September 21, 2022)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (September 16, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 16, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.