Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Skytop View Rehabilitation Center during CMS and state inspections, most recent first.
A resident with multiple chronic conditions was given Oxycodone-Acetaminophen for pain levels below the physician-ordered threshold. The medication was administered for pain scores of 3, 5, and 6, despite orders specifying use only for severe pain rated 7-10. Facility staff, including the DON and an RN, confirmed that the medication was given outside the prescribed parameters and without notifying the provider or obtaining a new order.
A resident with COPD was not provided oxygen at the prescribed rate of 4 liters per minute, receiving only 3 liters instead. Staff confirmed the discrepancy, acknowledging the need to follow the physician's order, as outlined in the facility's oxygen therapy policy.
A facility failed to document a rationale for prescribing a psychotropic PRN medication for more than 14 days for a resident. The pharmacist recommended discontinuation or documentation of the indication and duration, but the physician's order extended Zolpidem use for 30 days without rationale. The DON could not confirm documentation of the rationale, violating the facility's Drug Regimen Review policy.
A facility failed to secure medications in the south wing, where a resident had unsecured Saline Nasal Mist and saline eye solution on the bedside table. The resident used these daily, and both a registered nurse and the Director of Nursing confirmed that medications must be secured. The facility's policy mandates that only authorized personnel can access medications, and storage areas must be locked when unattended.
A resident with a congested cough tested positive for COVID-19, but the facility delayed implementing transmission-based precautions. The resident was symptomatic, and although the positive test result was received, precautions were not ordered until three days later, contrary to the facility's infection prevention policy.
Failure to Follow Physician-Ordered Parameters for Pain Medication
Penalty
Summary
A deficiency occurred when a resident with multiple diagnoses, including heart disease, fibromyalgia, hypertension, major depressive disorder, anxiety disorder, a history of pulmonary embolism, breast cancer, muscle weakness, and difficulty walking, was administered Oxycodone-Acetaminophen outside of the physician-ordered parameters. The physician's order specified that the medication should be given every six hours as needed for severe pain rated 7-10 and to be held for lethargy. However, the Medication Administration Record (MAR) showed that the medication was administered on several occasions for pain levels of 3, 5, and 6, which did not meet the criteria outlined in the order. Interviews with facility staff confirmed that the medication was given outside the prescribed parameters. The DON acknowledged that staff should follow physician-ordered parameters for pain medications and recognized that the medication was administered inappropriately. A registered nurse also admitted to administering the medication outside the parameters and not notifying the physician or obtaining a new order. The facility's policy requires medications to be administered as ordered by the provider and in accordance with professional standards, which was not followed in this instance.
Failure to Administer Oxygen as Prescribed
Penalty
Summary
The facility failed to provide appropriate respiratory care services for a resident requiring oxygen administration. The resident, who was admitted with diagnoses including anemia, atherosclerosis heart disease, pulmonary hypertension, and chronic obstructive pulmonary disease (COPD), had a physician's order for oxygen to be administered at 4 liters per minute via nasal cannula. However, during observations, the resident was found receiving oxygen at only 3 liters per minute, contrary to the physician's orders. Interviews with the resident and staff confirmed the discrepancy in oxygen administration. The resident mentioned that they typically receive 4 liters when active and 3 liters when resting, but the physician's order did not specify such adjustments. The Registered Nurse and the Director of Nursing both acknowledged that the oxygen should have been administered at 4 liters per minute as per the physician's directive. The facility's policy on oxygen therapy also emphasized adherence to the physician's order, highlighting the failure to comply with established protocols.
Lack of Rationale for Extended PRN Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that a rationale was documented in the medical record for prescribing a psychotropic PRN medication for more than 14 days for a resident. The pharmacist's consultation report noted that the resident had a PRN order for Zolpidem, a sedative/hypnotic, without a stop date, and recommended discontinuation or documentation of the indication for use and intended duration if the medication could not be discontinued. However, the physician's order extended the use of Zolpidem for 30 days without providing the required rationale. During an interview, the Director of Nursing was unable to confirm whether the physician had documented the rationale for the extended prescription in the resident's clinical record. The facility's policy on Drug Regimen Review requires that any irregularities identified by the Consultant Pharmacist be reported and addressed, with clinical justification documented if a recommendation is declined. In this case, the facility did not adhere to its policy, resulting in a deficiency related to unnecessary medications.
Failure to Secure Medications in South Wing
Penalty
Summary
The facility failed to secure medications in one of its wings, specifically the south wing. During observations on March 3, 2025, it was noted that a resident had a bottle of Saline Nasal Mist and a bottle of normal saline eye solution unsecured on the bedside table. The resident mentioned that these items were brought by his wife and used daily as needed. A registered nurse confirmed the unsecured medications and stated that all medications must be secured. The Director of Nursing also affirmed that medications cannot be left unsecured at the bedside. The facility's policy on medication storage, dated January 22, 2025, specifies that only authorized personnel can access medications and that medication storage areas must be locked when not attended by authorized individuals.
Failure to Implement Timely Transmission-Based Precautions
Penalty
Summary
The facility failed to implement transmission-based precautions for a resident who was symptomatic and later tested positive for COVID-19. The resident exhibited a congested cough, and a COVID-19 PCR test was ordered. The test, conducted on 7/13/2024, returned positive results the same day, but the facility did not receive these results until 7/15/2024. Despite the resident's symptoms and the positive test result, there was no physician order for transmission-based precautions until 7/16/2024. The facility's policy requires that transmission-based precautions be initiated when there is reasonable suspicion of an infectious disease. However, the resident was not placed on such precautions until three days after testing positive. The Director of Nursing confirmed that the resident should have been placed on precautions when symptoms first appeared. The facility's policy also states that if the attending physician does not respond appropriately, the Infection Preventionist or Medical Director has the authority to implement necessary precautions, which was not done in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Clermont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakes Of Clermont Health And Rehabilitation Center | 1 mi | — | 5 | 0 |
| Clermont Health And Rehabilitation Center | 2.4 mi | — | 0 | 0 |
| Aviata At Colonial Lakes | 6.1 mi | — | 5 | 0 |
| Health Central Park | 8.1 mi | — | 0 | 0 |
| Winter Garden Rehabilitation And Nursing Center | 8.9 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.