Inspection Reports for
Pines of Sarasota
1251 NORTH ORANGE AVENUE, SARASOTA, FL, 34236
Back to Facility Profile4 Reports
Inspection Report — Feb 3, 2026
Annual Inspection
Date: Feb 3, 2026
Visit Reason
The report covers 19 inspections of Pines of Sarasota from October 10, 2013 to February 3, 2026, including standard and complaint visits.
Findings
Across 19 visits, 7 had deficiencies cited and 6 were clean. There were 16 total deficiencies, none serious, and no legal actions taken.
Citations (16)
Training - Staff In-service — cited November 10, 2025, corrected December 4, 2025
Training - Do Not Resuscitate Orders — cited November 10, 2025, corrected December 4, 2025
Alzheimer Disease/dementia; Training — cited November 10, 2025, corrected December 4, 2025
Resident Care - Social & Leisure Activities — cited February 15, 2022, corrected March 15, 2022
Medication - Assistance With Self-admin — cited February 15, 2022, corrected March 15, 2022
Staffing Standards - Staff — cited February 15, 2022, corrected July 15, 2022
Training - Staff In-service — cited February 15, 2022, corrected March 15, 2022
Training - Hiv/aids — cited February 15, 2022, corrected July 15, 2022
Training - Do Not Resuscitate Orders — cited February 15, 2022, corrected July 15, 2022
Background Screening-compliance Attestation — cited February 15, 2022, corrected March 15, 2022
Physical Plant - Safe Living Environ/other — cited April 17, 2019, corrected September 10, 2019
Licensure - Change of Ownership (Chow) — cited December 18, 2017, corrected December 28, 2017
Staffing Standards - Staff — cited July 13, 2017, corrected July 19, 2017
Training - Staff In-service — cited July 13, 2017, corrected July 19, 2017
Training - Do Not Resuscitate Orders — cited July 13, 2017, corrected July 19, 2017
Unlicensed Activity — cited October 10, 2013, corrected January 2, 2014
Report Facts
Inspections: 19
Visits with deficiencies: 7
Clean visits: 6
Deficiencies: 16
Serious deficiencies: 0
Legal actions: 0
Total fines: 0
Inspection Report — May 2, 2024
Complaint Investigation
Date: May 2, 2024
Visit Reason
The inspection was conducted following a complaint related to an incident where Resident #19 sustained a burn from overheated food served by staff.
Complaint Details
The complaint investigation found that Resident #19 was burned by overheated soup due to staff not following reheating procedures. The incident was substantiated with documentation and interviews confirming inadequate staff training and failure to check food temperature.
Findings
The facility failed to ensure staff training on reheating food was appropriate and effective, resulting in a resident burn injury. Several staff members were unable to explain the proper reheating procedure, prompting plans for retraining.
Citations (1)
F 0943: The facility failed to ensure staff followed the reheating food policy, resulting in Resident #19 sustaining a burn from overheated soup. Staff training was inadequate as multiple CNAs could not explain the reheating procedure.
Report Facts
Residents Affected: 1
Date of Incident: Apr 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Licensed Practical Nurse Unit Manager (LPN) | Reported details of the burn incident involving Resident #19. |
| Director of Nursing | Director of Nursing (DON) | Reported on staff training deficiencies and corrective actions. |
| Assistant Director of Nursing Risk Manager | Assistant Director of Nursing Risk Manager (ADONRM) | Provided training and conducted audits on reheating food procedures. |
Inspection Report — Jan 12, 2023
Annual Inspection
Date: Jan 12, 2023
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with healthcare regulations and standards at Pines of Sarasota nursing home.
Findings
The facility was found deficient in multiple areas including improper catheter care, incorrect oxygen therapy administration, lack of assessment and consent for bed rail use, and unsecured medication carts. All deficiencies were noted to have minimal harm or potential for actual harm affecting a few residents.
Citations (4)
F 0690: The facility failed to store a urinary catheter drainage bag in a sanitary manner for 1 resident, risking infection.
F 0695: The facility failed to provide oxygen therapy as ordered for 1 resident, administering oxygen at 4 liters instead of the prescribed 2 liters.
F 0700: The facility failed to assess alternatives and obtain informed consent before using bed rails for 2 residents and lacked documentation of routine maintenance of bed rails.
F 0761: The facility failed to ensure a medication cart remained secured when unattended, exposing medications and residents' private information.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Medication carts: 1
Medication carts total: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nursing Assistant (CNA) | Named in catheter care deficiency |
| Staff B | Licensed Practical Nurse (LPN) | Named in catheter care deficiency |
| Staff W | Registered Nurse (RN) | Verified oxygen therapy order and administration |
| Staff Q | Registered Nurse | Verified medication cart unsecured and privacy breach |
| Director of Nursing | Verified lack of documentation for bed rail consent and alternatives | |
| Maintenance Director | Confirmed lack of maintenance documentation for bed rails |
Inspection Report — May 27, 2021
Annual Inspection
Date: May 27, 2021
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with healthcare regulations regarding medication management and food safety in the nursing home.
Findings
The facility failed to ensure medications were properly secured, expired medications were removed, and opened medication vials were dated. Additionally, the kitchen and food preparation areas were found to be heavily soiled, equipment was broken or malfunctioning, and food was not maintained at safe temperatures.
Citations (2)
F 0761: The facility failed to ensure medications were secured and locked, expired medications were removed from active supply, and opened multi-dose vials were properly dated.
F 0812: The facility failed to maintain food preparation equipment in a clean and sanitary manner and failed to maintain food at safe internal temperatures and dishwasher wash temperatures.
Report Facts
Expired medications: 6
Medication cart staff observed: 4
Medication cart medication left unsecured: 11
Dishwasher wash temperature: 140
Dishwasher rinse temperature: 90
Food temperatures on steam table: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN Staff A | Licensed Practical Nurse | Observed leaving medications unsecured during administration |
| LPN Staff B | Licensed Practical Nurse | Conducted random audit of medication cart with expired medications |
| LPN Staff C | Licensed Practical Nurse | Conducted random audit of medication refrigerator with undated insulin vial |
| Director of Nursing | Director of Nursing | Interviewed regarding medication security and expiration policies |
| Director of Dietary Services | Director of Dietary Services | Interviewed and observed regarding kitchen sanitation and food temperature issues |
4 CMS Surveys
CMS Survey — May 2, 2024
May 2, 2024
CMS Survey — May 27, 2021
May 27, 2021
CMS Survey — Jan 12, 2023
Jan 12, 2023
CMS Survey — May 2, 2024
May 2, 2024
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