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 Springs At Lake Pointe Woods during CMS and state inspections, most recent first.
A resident with multiple health conditions and moderate cognitive impairment, who required a full-body mechanical lift with two-person assistance for transfers, sustained a deep leg laceration when a CNA performed a manual transfer alone, contrary to the care plan. The injury occurred when the resident's leg scraped against an exposed part of the enabler bar. Interviews indicated that single-staff transfers without mechanical lifts were not uncommon, especially on the evening shift, and were considered unsafe by residents.
A resident with multiple comorbidities and fragile skin, requiring a full-body mechanical lift with two-person assistance, sustained a deep leg laceration during a transfer when a CNA performed the transfer alone without the mechanical lift, contrary to the care plan. Other residents also reported that transfers were sometimes conducted by only one staff member, raising concerns about unsafe practices.
A cognitively impaired resident with a history of traumatic brain injury and confusion was able to elope from a facility due to inadequate supervision and an incomplete elopement risk assessment. The resident, who exhibited exit-seeking behavior, was escorted to the lobby by a staff member who did not verify her identity. She then exited the facility unnoticed, exposing her to significant risks outside.
A facility failed to protect a resident from abuse when a CNA provided care alone to a resistive resident, resulting in bruising and pain. The resident's care plan, which required updating to two-person assistance, was not revised, contributing to the incident.
Failure to Follow Care Plan for Safe Transfers Results in Resident Injury
Penalty
Summary
A deficiency occurred when staff failed to follow the care plan and safety precautions for a resident who required a full-body mechanical lift with two-person assistance for transfers. The resident, who had diagnoses including chronic obstructive pulmonary disease, kidney disease, neuropathy, and fragile skin, was admitted for short-term rehabilitation and had moderate cognitive impairment. The care plan and Kardex both specified the need for a mechanical lift and two staff members for all transfers due to the resident's decreased mobility and generalized weakness. On the day of the incident, the resident requested to return to bed. Staff A, a CNA, sought assistance from Staff B, another CNA, after noticing the Hoyer lift pad was not under the resident. Despite Staff A's suggestion to transfer the resident together, Staff B insisted on performing the transfer alone without the mechanical lift, using a manual method that involved putting her arms around the resident and standing her up. During this transfer, the resident's leg scraped against an exposed, rough part of the enabler bar, resulting in a deep laceration that required seven sutures. Interviews with other residents who required mechanical lifts revealed that transfers were sometimes performed by only one staff member, particularly on the evening shift, and that this practice was perceived as unsafe. Staff interviews confirmed that the care plan was not followed during the incident, and the Director of Nursing acknowledged that staff had failed to adhere to the resident's transfer requirements.
Failure to Follow Transfer Protocols Resulting in Resident Injury
Penalty
Summary
A deficiency occurred when staff failed to follow the care plan and safety precautions for a resident who required a full-body mechanical lift with two-person assistance for transfers. The resident, who had diagnoses including chronic obstructive pulmonary disease, kidney disease, neuropathy, and fragile skin, was admitted for short-term rehabilitation and had moderate cognitive impairment. The care plan and Kardex both specified the need for a Hoyer lift and two staff members for all transfers due to the resident's decreased mobility and generalized weakness. On the day of the incident, the resident requested to return to bed. Staff A, a CNA, sought assistance from Staff B, another CNA, as the Hoyer pad was not under the resident. Despite Staff A's suggestion to use the Hoyer lift together, Staff B insisted on transferring the resident alone without the mechanical lift, using a manual method. During the transfer, the resident's leg scraped against an exposed, rough part of the enabler bar, resulting in a deep laceration that required seven sutures. The resident reported that two staff were present, but only one performed the transfer, contrary to the care plan. Interviews with other residents revealed similar concerns, with two additional residents stating that transfers were sometimes performed by only one staff member, especially on the evening shift, and that this practice felt unsafe. Staff interviews confirmed that the care plan was not followed during the incident, and the Director of Nursing acknowledged that staff did not adhere to the required transfer procedures for the resident.
Inadequate Supervision Leads to Resident Elopement
Penalty
Summary
The facility failed to provide adequate supervision to prevent unsafe wandering and elopement for a newly admitted cognitively impaired resident. The resident, who had a history of traumatic subdural hemorrhage and was diagnosed with encephalopathy and alcohol use, was admitted to the facility with short-term memory loss and occasional confusion. Despite these conditions, the elopement risk evaluation was incomplete, resulting in a score that did not identify the resident as at risk for elopement. On the morning of the incident, the resident exhibited exit-seeking behavior, attempting to leave the facility under the belief that her daughter was there to pick her up. A staff member, unaware of the resident's identity, escorted her to the lobby, where she was left unsupervised. The resident then exited the facility through the front lobby door, which was not adequately secured to prevent such an occurrence. The staff did not realize the resident was missing until later, and she was found outside the facility by a laboratory technician. The facility's failure to implement adequate supervision and properly assess the resident's elopement risk created a likelihood of avoidable accidents. The resident was able to leave the facility unnoticed, which exposed her to significant dangers, including the risk of being hit by a car, assaulted, or falling into a nearby pond. This incident highlighted deficiencies in the facility's procedures for monitoring and supervising residents with cognitive impairments and exit-seeking behaviors.
Removal Plan
- All exterior doors were checked by the Director of Nursing, Administrator, and Maintenance Technician. All were in good working order with no deficiencies noted.
- Resident #1 was placed on enhanced monitoring with continuous checks for supervision in addition to a wander management bracelet until discharge.
- Exit button used by Resident #1 in front lobby to exit front door was disabled by the Administrator. Secured lock box was placed over exit button. A sign was placed on the lock box to see nurse to exit facility after hours.
- Elopement education for staff began with 100% participation of current staff.
- Direct care staff have participated in one or more elopement drills.
- QAPI meeting was held to review resident elopement performance improvement plan.
- Root Cause Analysis was completed and determined the individual nurse did not follow facility practice in identifying residents.
- All residents currently identified at risk for elopement were verified to have their wander management device in place and functioning properly.
- Current residents were re-evaluated for elopement risk and documented in PCC electronic clinical record.
- Staff Elopement drills were initiated and continued every eight hours, then weekly.
- Director of nursing/designee has been auditing elopement evaluations in morning clinical meeting on new/readmission residents.
- Licensed nurses were educated regarding taking new admission photos and uploading them into Point Click Care upon admission.
- Adverse Incident was completed by DON and submitted to AHCA.
- New staff are educated/oriented to elopement/missing resident policy and procedures upon general orientation.
- Employees receive education on elopement/missing resident policy and procedures.
- Residents at risk for elopement are supervised by multiple interventions, including participation in activities, eating in monitored areas, and increased supervision during off hours.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident from abuse, as evidenced by an incident involving a Certified Nurse Assistant (CNA) who provided care alone to a resident known to be resistive. The CNA admitted to grabbing the resident to prevent her from falling, which resulted in bruising and pain to the resident's left forearm. The resident, who is aphasic, indicated distress and pointed to her left arm when asked about the care. The resident's sister also reported that the resident had been upset and felt the staff member had been rough during care. The Director of Nursing (DON) acknowledged that an investigation was conducted but concluded that there was no intent to cause harm. However, the care plan, which initially required one-person assistance, had not been updated to reflect the need for two-person assistance despite the resident's resistive behaviors. This oversight contributed to the incident, as the CNA attempted to provide care alone, contrary to the resident's needs.
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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 Sarasota
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bay Village Of Sarasota | 0.7 mi | — | 0 | 0 |
| Brookdale Palmer Ranch Snf | 2 mi | — | 0 | 0 |
| Glenridge On Palmer Ranch Inc. | 2.3 mi | — | 0 | 0 |
| Crescent Health And Rehabilitation Center | 2.4 mi | — | 0 | 0 |
| Creekside Health And Rehabilitation Center | 2.6 mi | — | 2 | 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.