Inspection Reports for
St Mark Village, Inc.

2655 NEBRASKA AVE, PALM HARBOR, FL, 34684-2630

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

70% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2012
2019
2020
2021
2023
2024
2025

Inspection Report

Routine
Deficiencies: 0 Date: Sep 15, 2025

Visit Reason
No deficiencies found during this inspection.

Findings
No deficiencies found during this inspection.

Inspection Report

Standard
Deficiencies: 0 Date: Sep 15, 2025

Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.

Findings
Across all inspections, the facility had a mix of deficiency statuses including cited, corrected, and no deficiencies, with several inspections showing no deficiencies and others citing or correcting deficiencies.

Report Facts
Inspections on page: 27

Inspection Report

Deficiencies: 0 Date: Apr 14, 2025

Visit Reason
No deficiencies found during this inspection.

Findings
No deficiencies found during this inspection.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jan 25, 2024

Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at the nursing home.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Routine
Deficiencies: 1 Date: Jul 17, 2023

Visit Reason
Deficiency related to resident records was identified.

Findings
Deficiency related to resident records was identified.

Deficiencies (1)
Tag A0162 — RECORDS - RESIDENT

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 4, 2023

Visit Reason
No deficiencies found during this complaint investigation.

Findings
No deficiencies found during this complaint investigation.

Inspection Report

Routine
Deficiencies: 2 Date: Dec 29, 2021

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to maintaining a safe, clean, and homelike environment and ensuring proper care plan interventions for residents.

Findings
The facility failed to maintain a clean and sanitary environment for one resident due to not deep cleaning and sanitizing a room before a new resident moved in. Additionally, the facility failed to ensure wound care interventions were properly revised and documented in the care plan for one resident.

Deficiencies (2)
F 0584: The facility failed to maintain a clean and sanitary environment for Resident #208 by not deep cleaning and sanitizing a room prior to the resident's readmission, leaving personal items in the room.
F 0657: The facility failed to revise and maintain the care plan interventions related to wound care for Resident #3, omitting the left lower leg venous stasis wound from the care plan until corrected after surveyor interview.
Report Facts
Residents in sample group: 21 Residents affected: 1

Employees mentioned
NameTitleContext
Director of NursingInterviewed regarding room cleaning and confirmed failure to clean room before resident readmission
Plant Operations DirectorInterviewed regarding terminal cleaning procedures
Plant Operations ManagerInterviewed regarding terminal cleaning procedures
Nursing Home AdministratorInterviewed regarding terminal cleaning procedures and room readiness
Clinical Manager for MDSInterviewed and acknowledged omission of wound care intervention in care plan for Resident #3

Inspection Report

Routine
Deficiencies: 2 Date: Aug 18, 2021

Visit Reason
Deficiencies related to admissions health assessment and continued residency were identified.

Findings
Deficiencies related to admissions health assessment and continued residency were identified.

Deficiencies (2)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Nov 25, 2020

Visit Reason
The inspection was conducted to investigate complaints related to resident council concerns about nursing care, long wait times, and staffing, as well as to assess dialysis care and monitoring for a resident requiring dialysis.

Complaint Details
The complaint investigation focused on resident council concerns about nursing care, long wait times, and staffing shortages, confirmed by resident interviews and council minutes. The facility lacked a formal grievance process for council concerns. Additionally, a failure to monitor a dialysis resident's post-treatment status was identified.
Findings
The facility failed to respond adequately to resident council grievances regarding nursing care and staffing concerns over three months. Additionally, the facility failed to consistently monitor and document the status of a resident immediately after dialysis treatment, risking delayed management of complications.

Deficiencies (2)
F 0565: The facility failed to demonstrate responsiveness to resident council concerns regarding nursing care when grievances were not addressed or acted upon for three months. The resident council did not receive responses or rationale regarding their concerns.
F 0698: The facility failed to immediately monitor and document the status of a resident upon returning from dialysis treatment, missing documentation of vital signs, skin integrity, and dialysis site condition on two occasions.
Report Facts
Opportunities for dialysis status documentation missed: 2 Resident council meeting dates reviewed: 3 Resident council members interviewed: 3

Employees mentioned
NameTitleContext
Life Enrichment DirectorReported role as resident council facilitator and described survey format replacing group meetings.
Director of Nursing (DON)Addressed resident council nursing care concerns and confirmed lack of formal grievance process.
Staff Member CLicensed Practical Nurse (LPN)Reported sending dialysis communication form and confirmed missed documentation.
Facility AdministratorParticipated in interview confirming grievance process issues and need for root cause analysis.

Inspection Report

Routine
Deficiencies: 1 Date: May 2, 2019

Visit Reason
Deficiency related to staffing standards was identified.

Findings
Deficiency related to staffing standards was identified.

Deficiencies (1)
Tag A0078 — STAFFING STANDARDS - STAFF

Inspection Report

Monitor
Deficiencies: 2 Date: Sep 10, 2012

Visit Reason
Deficiencies related to food service general responsibilities and ECC training were identified.

Findings
Deficiencies related to food service general responsibilities and ECC training were identified.

Deficiencies (2)
Tag A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES
Tag AE210 — ECC - TRAINING

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