5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Terracina Grand operates 200 beds in Naples, Florida, at 6825 Davis Blvd, a mid-rise facility with studio through two-bedroom private units. The place has been running for 11 years. It’s at 90% occupancy with an average stay of 25 days, signaling short-term post-acute rehabilitation. Walk Score 12 means you’re entirely car-dependent.
It accepts Medicare and private pay. Pradeep Muley is the administrator; John Cushen is the manager. The staff speaks English, Spanish, French, and Creole. Better Business Bureau gives it an A plus rating.
Terracina Grand rates above the state average for overall quality, health inspection performance, staffing, and quality measures. Weekend nursing is particularly notable: 4 hours per resident daily, 14% above the Florida average. Total nursing hits 4 hours 12 minutes, about 5% below the state average but still ranked 74th among 252 Florida nursing homes.
The facility accumulated 36 citations over 13 years. That’s 9% above the state average of 33, with 2.8 citations per year, versus the state average of 2.5.
There are four fines in total, but $34,000 combined. That’s 193% higher than the state average. The typical facility gets fined $11,600. Terracina got almost three times that.
Past complaints from 2019 and 2014 flagged deficiencies in resident care supervision, rights, and staffing standards. April 2022 brought four Class 3 deficiencies: medication assistance, staffing, and training. The most recent inspection in July 2024 found nothing.
This is a large facility with strong CMS ratings for quality and staffing levels but a weaker inspection history marked by higher citations and substantially higher fines. The gap between what CMS is measuring (clinical outcomes, staffing hours, rehab results) and what AHCA inspections find (operational compliance, training, documentation) suggests a facility that produces decent patient results but has struggled with governance and process discipline.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 60th out of 181 homes in Florida for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 39m per day | ▲ 126% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▼ 4% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 28m per day | ▲ 6% State avg: 2h 20m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 18m per day | ▲ 22% State avg: 3h 32m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 16m per day | ▲ 186% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 7m per day | ▲ 109% State avg: 32m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Terracina Grand is legally operated by Terracina, LLC, and administered by Pradeep Muley.
Key information about the people who lead and staff this community.
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Florida state average. The score below shows how many points this facility sits above or below the typical Florida nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.
7 points below the Florida average for nursing homes (83/100)
Rank #641 / 876 in Florida Inspection Score — State benchmarked This home is ranked 641st out of 876 homes in Florida for inspection score. Shows this facility's inspection score compared to the Florida average among 876 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 76 out of 100. Letter grade C. 7 points below the Florida average for nursing homes (83/100)
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 33 | This facility has 9% more total citations than a typical Florida nursing home (36 vs. FL avg 33).↑ 9% worse Rank #543 / 907 Total citations — State benchmarked This home is ranked 543rd out of 907 homes in Florida for total citations. Shows this facility's total citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
|
Citations per inspection
Average citations per inspection.
| 1.2 | 1.3 | This facility has 8% fewer citations per inspection than a typical Florida nursing home (1.2 vs. FL avg 1.3).↓ 8% better Rank #446 / 907 Citations per inspection — State benchmarked This home is ranked 446th out of 907 homes in Florida for citations per inspection. Shows this facility's citations per inspection compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
Inspections
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 31 | 26 | This facility has had 19% more total inspections than the Florida average (31 vs. FL avg 26). More inspections can mean more regulatory scrutiny rather than worse care.↑ 19% more |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 13 | 16 | This facility has 19% fewer inspections with citations than a typical Florida nursing home (13 vs. FL avg 16).↓ 19% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 42% | 62% | This facility has 20 percentage points lower inspection citation rate than a typical Florida nursing home (42% vs. FL avg 62%).↓ 20% better Rank #245 / 907 Inspection citation rate — State benchmarked This home is ranked 245th out of 907 homes in Florida for % of inspections with citations. Shows this facility's % of inspections with citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 4.3
Last Health inspection on May 2024
State average 19.7
State average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
100% better than State averageState average: 0.8
100% better than State averageState average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
63% more staff per resident than Florida average
5% worse than Florida average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
13 total: 12 full-time employees and 1 contractor.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
8 total: 7 full-time employees and 1 contractor.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
21 total: 20 full-time employees and 1 contractor.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,081 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 1 | 21 | 5,844 | 92 | 100% | 7.3 |
| Registered Nurse | 12 | 1 | 13 | 2,734 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 7 | 1 | 8 | 1,787 | 88 | 96% | 8.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 723 | 68 | 74% | 7.9 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 643 | 72 | 78% | 5.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 612 | 66 | 72% | 6.7 |
| Dietitian | 1 | 0 | 1 | 505 | 64 | 70% | 7.9 |
| Administrator | 1 | 1 | 2 | 488 | 61 | 66% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 477 | 68 | 74% | 6.4 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 465 | 60 | 65% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 455 | 57 | 62% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 58 | 63% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 395 | 60 | 65% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 365 | 55 | 60% | 6.5 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
85% lower than Florida averageFlorida average: $72K
24% fewer fines than Florida averageFlorida average: 2.6
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Florida averageFlorida average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
5% better than Florida averageFlorida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Florida averageFlorida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
9% worse than Florida averageFlorida average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
96% of new residents, usually for short-term rehab.
4% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
27Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Terracina Grand from 2020–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #174 / 184Payroll — State benchmarkedThis home is ranked 174th out of 184 homes in Florida for payroll. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #21 / 184Payroll % — State benchmarkedThis home is ranked 21st out of 184 homes in Florida for payroll %. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 49–57% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (96% of admissions), and a typical Medicare stay runs around 24 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.2 miles from city center
Estimated distance in miles from Naples's city center to Terracina Grand's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the FL Agency for Health Care Administration (AHCA), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Oak Hammock at the University of Florida | NH AL MC SNF | Gainesville | 80
Facility
80
FL AVG
88
Rank
#570 / 1058 | - | - | 5.85
Facility
5.85
FL AVG
4.04
Rank
#12 / 181 | -31% | +45% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 92
Facility
92
FL AVG
83
Rank
#237 / 876 | 13
Facility
13
FL AVG
19.7
Rank
#56 / 181 | 4.3
Facility
4.3
FL AVG
4.5
Rank
#92 / 181 | - | 71 | - |
6
Facility
6
FL AVG
40
Rank
#1344 / 1487 | Donna Brown | $13.2MFiscal year ending 12/2023
Facility
$13.2MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#19 / 184 | $17.1MFiscal year ending 12/2023
Facility
$17.1MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#11 / 184 | 129.6%Fiscal year ending 12/2023
Facility
129.6%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#90 / 184 | 106066 | ||||
| Vi at Lakeside Village | NH AL IL MC RC SNF | Lantana | 60
Facility
60
FL AVG
88
Rank
#681 / 1058 |
78.3%
Facility
78.3%
FL AVG
84.4
Rank
#103 / 125 | -7% | 4.79
Facility
4.79
FL AVG
4.04
Rank
#31 / 181 | -9% | +19% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 90
Facility
90
FL AVG
83
Rank
#314 / 876 | 7
Facility
7
FL AVG
19.7
Rank
#20 / 181 | 2.3
Facility
2.3
FL AVG
4.5
Rank
#23 / 181 | - | 47 | - |
12
Facility
12
FL AVG
40
Rank
#1225 / 1487 | Cc Lantana Inc | $10.1MFiscal year ending 12/2023
Facility
$10.1MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#45 / 184 | $8.1MFiscal year ending 12/2023
Facility
$8.1MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#82 / 184 | 80.1%Fiscal year ending 12/2023
Facility
80.1%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#167 / 184 | 105968 | ||||
| Vi at Aventura | NH AL IL MC SNF | Aventura | 26
Facility
26
FL AVG
88
Rank
#855 / 1058 | - | - | 4.72
Facility
4.72
FL AVG
4.04
Rank
#40 / 181 | 0% | +17% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 92
Facility
92
FL AVG
83
Rank
#237 / 876 | 7
Facility
7
FL AVG
19.7
Rank
#20 / 181 | 3.5
Facility
3.5
FL AVG
4.5
Rank
#59 / 181 | - | 36 | - |
69
Facility
69
FL AVG
40
Rank
#223 / 1487 | Pamela Allison | $6.6MFiscal year ending 12/2023
Facility
$6.6MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#47 / 184 | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#140 / 184 | 85.8%Fiscal year ending 12/2023
Facility
85.8%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#179 / 184 | 106076 | ||||
| The Mayflower at Winter Park | NH AL IL MC SNF | Winter Park | 55
Facility
55
FL AVG
88
Rank
#734 / 1058 | - | - | 5.52
Facility
5.52
FL AVG
4.04
Rank
#19 / 181 | -4% | +37% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 91
Facility
91
FL AVG
83
Rank
#281 / 876 | 4
Facility
4
FL AVG
19.7
Rank
#9 / 181 | 2.0
Facility
2.0
FL AVG
4.5
Rank
#13 / 181 | - | 56 | - |
13
Facility
13
FL AVG
40
Rank
#1204 / 1487 | Mayflower Retirement Center, Inc | $30.8MFiscal year ending 12/2023
Facility
$30.8MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#25 / 184 | $14.9MFiscal year ending 12/2023
Facility
$14.9MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#22 / 184 | 48.2%Fiscal year ending 12/2023
Facility
48.2%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#126 / 184 | 105720 | ||||
| Terracina Grand | NH AL IL MC RC SNF | Naples | 200
Facility
200
FL AVG
88
Rank
#38 / 1058 | - | - | 4.20
Facility
4.20
FL AVG
4.04
Rank
#60 / 181 | +66% | +4% | $10.9k
Facility
$10.9k
FL AVG
$78.9k
Rank
#128 / 185 | 76
Facility
76
FL AVG
83
Rank
#641 / 876 | 4
Facility
4
FL AVG
19.7
Rank
#9 / 181 | 2.0
Facility
2.0
FL AVG
4.5
Rank
#13 / 181 | - | 26 | A+ |
12
Facility
12
FL AVG
40
Rank
#1225 / 1487 | 2012 Goodman Family Gst | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#182 / 184 | $2.6MFiscal year ending 12/2023
Facility
$2.6MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#174 / 184 | 46.1%Fiscal year ending 12/2023
Facility
46.1%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#21 / 184 | 106129 |
The team at Terracina Grand speaks Creole, English, French, and Spanish.
Terracina Grand is legally operated by Terracina, LLC, and administered by Pradeep Muley.
Terracina Grand has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to FL state health department records, Terracina Grand's license number is 10071.
According to FL state health department records, Terracina Grand's license expires on June 11, 2027.
Terracina Grand's occupancy is 90.0%.
Terracina Grand has been operating for approximately 11 years, based on available licensing and registration records.
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