Inspection Reports for
St Mark Village, Inc.
2655 NEBRASKA AVE, PALM HARBOR, FL, 34684-2630
Back to Facility Profile4 Reports
Inspection Report — Sep 15, 2025
Date: Sep 15, 2025
Visit Reason
The page covers the entire inspection history of St Mark Village, INC., including all surveyor visits and their outcomes.
Findings
Across 25 inspections from 2012 to 2025, 4 visits cited deficiencies which were all corrected, with no serious deficiencies or legal actions recorded.
Citations (6)
Records - Resident — cited July 17, 2023, corrected August 25, 2023
Admissions - Health Assessment — cited August 18, 2021, corrected September 22, 2021
Admissions - Continued Residency — cited August 18, 2021, corrected September 22, 2021
Staffing Standards - Staff — cited May 2, 2019, corrected July 18, 2019
Food Service - General Responsibilities — cited September 10, 2012, corrected November 5, 2012
ECC - Training — cited September 10, 2012, corrected November 5, 2012
Report Facts
Inspections: 25
Visits with deficiencies: 4
Clean visits: 17
Deficiencies: 6
Serious deficiencies: 0
Legal actions: 0
Total fines: 0
Inspection Report — Jan 25, 2024
Annual Inspection
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 — Dec 29, 2021
Routine
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.
Citations (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
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding room cleaning and confirmed failure to clean room before resident readmission | |
| Plant Operations Director | Interviewed regarding terminal cleaning procedures | |
| Plant Operations Manager | Interviewed regarding terminal cleaning procedures | |
| Nursing Home Administrator | Interviewed regarding terminal cleaning procedures and room readiness | |
| Clinical Manager for MDS | Interviewed and acknowledged omission of wound care intervention in care plan for Resident #3 |
Inspection Report — Nov 25, 2020
Complaint Investigation
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.
Citations (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
| Name | Title | Context |
|---|---|---|
| Life Enrichment Director | Reported 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 C | Licensed Practical Nurse (LPN) | Reported sending dialysis communication form and confirmed missed documentation. |
| Facility Administrator | Participated in interview confirming grievance process issues and need for root cause analysis. |
3 CMS Surveys
CMS Survey — Nov 25, 2020
Nov 25, 2020
CMS Survey — Dec 29, 2021
Dec 29, 2021
CMS Survey — Jan 25, 2024
Jan 25, 2024
Loading inspection reports...
