Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Florence Park Care Center during CMS and state inspections, most recent first.
A failure to safeguard and account for controlled substances led to the diversion of narcotic pain medications by an LPN, resulting in three residents with chronic pain conditions not receiving their prescribed doses. These residents experienced unmanaged pain, with no documented pain assessments or provider notifications, and staff failed to follow facility policies for medication administration and pain management.
A facility failed to ensure proper control and documentation of controlled substances when an LPN administered medications to several residents but did not sign the controlled medication records at the time of administration, instead completing the documentation later in front of a surveyor. The residents involved had various medical conditions and were prescribed controlled medications such as gabapentin, pregabalin, morphine, oxycodone, and lorazepam. Facility policy required real-time documentation and shift-to-shift reconciliation, but these procedures were not followed, as confirmed by staff interviews and record reviews.
The facility failed to maintain complete refrigeration temperature logs, missing entries for eight days in October. Staff interviews revealed the Dietary Supervisor forgot to record temperatures due to covering multiple shifts, risking food spoilage and bacterial growth.
The facility failed to label medications according to professional standards and ensure they were used before expiration. Observations revealed expired and undated medications on C1 and C2 Hall carts. Staff interviews confirmed the responsibility to check and label medications, with risks of decreased effectiveness noted.
The facility failed to serve hot food at a proper temperature, as scrambled eggs were found to be below the expected temperature during a test tray evaluation. Staff interviews revealed issues with the warming process, and a resident expressed dissatisfaction with cold food. The facility's policy requires hot foods to be served as hot as safely possible, but this standard was not met.
The facility failed to follow infection control policies, risking healthcare-associated infections for two residents. An LPN did not perform hand hygiene or use gloves during medication administration, and an Activity Assistant handled food without washing hands or using gloves. Additionally, soiled meal trays were improperly managed in the C Unit/COVID Unit kitchenette, raising concerns about cross-contamination.
Failure to Safeguard Controlled Substances Results in Unmanaged Pain
Penalty
Summary
The facility failed to ensure safe and appropriate pain management for residents requiring such services by not safeguarding and accounting for controlled substances, which led to the diversion of narcotic medications by a staff member. This resulted in ordered pain medications not being available for administration, causing unmanaged pain and discomfort for three residents. A comparison of medication counts and controlled substance record sheets revealed discrepancies, and an investigation found that scheduled narcotic pain medications were not administered as ordered. One resident with chronic pain syndrome, osteomyelitis, and peripheral vascular disease reported almost constant pain with high intensity and did not receive scheduled doses of oxycodone. The resident stated he was in severe pain for two days due to missed doses. Another resident with liver cancer and chronic pain, who was also receiving hospice services, missed a dose of morphine and reported severe pain, stating he cried because the pain was so bad. A third resident with pain, major depressive disorder, and personality disorder missed a dose of oxycodone-acetaminophen and reported increased pain, with staff unable to provide the medication due to its unavailability. Documentation in the medical records was incomplete, with no pain assessments or evidence that staff assessed or addressed the residents' pain or notified providers about missed medications. Interviews with staff confirmed that residents' complaints of pain were not properly documented or communicated to providers, and the controlled substance counts were inaccurate. The facility's failure to follow its own policies for controlled substance management and pain assessment led to residents experiencing unmanaged pain due to missed doses of prescribed narcotic medications.
Failure to Accurately Document and Reconcile Controlled Substances
Penalty
Summary
The facility failed to ensure proper control, accountability, reconciliation, and safeguarding of controlled substances in accordance with professional standards of practice and its own policy. Licensed nurses were required to count all controlled medications at every change of shift, with reconciliation performed jointly by outgoing and incoming nurses, and documentation required at the time of administration. However, observations and record reviews revealed that an LPN did not accurately complete and reconcile controlled medication record sheets for four sampled residents. The LPN administered controlled medications but failed to document the administration on the Individual Patient Controlled Substance Administration Record (IPCSAR) at the time the medications were given. Instead, the LPN completed the documentation later, in front of a surveyor, and recorded the time as after the actual administration. The residents involved had various medical conditions, including cerebral infarction, paranoid schizophrenia, contractures, Parkinson's disease, osteoarthritis, anxiety disorder, chronic pain, COPD, and dementia. Each resident had physician orders for controlled medications such as gabapentin, pregabalin, morphine sulfate, oxycodone, and lorazepam. Medication Administration Reports (MARs) indicated that the medications were given as scheduled, but the corresponding controlled substance records were not signed at the time of administration. In some cases, the LPN provided explanations for the lack of timely documentation, such as not having a pen, and stated an intention to complete the records after finishing medication administration. Interviews with other nursing staff and the Director of Nursing confirmed that the facility's policy required controlled medications to be signed out at the time of administration and that staff had been educated on this process. The Director of Nursing acknowledged ongoing issues with nursing documentation and stated that all staff, including agency nurses, were expected to follow established procedures for controlled medication counts and documentation. The administrator also confirmed the expectation that nurses follow all facility policies for controlled substances, including logging and documentation at the time medications are given.
Incomplete Refrigeration Temperature Logs
Penalty
Summary
The facility failed to store food safely as evidenced by incomplete refrigeration storage logs. During an observation on 10/14/2024, it was noted that the Monthly Temperature Log for refrigeration equipment was missing entries for eight out of 14 days in October 2024. The log is intended to record daily temperatures for the refrigerator, freezer, and dry storage to ensure they are within the specified ranges: Fridge 32-41°F, Freezer below 0°F, and Dry Storage 50-70°F. The absence of recorded temperatures for several days indicates a lapse in monitoring the equipment's functionality. Interviews with facility staff, including the Dietary Supervisor and Dietary Director, revealed that the failure to document temperatures was due to the Dietary Supervisor covering multiple shifts and forgetting to record the data. Both acknowledged the importance of maintaining proper temperatures to prevent bacterial growth and ensure food quality. The Assistant Director of Nursing and the Administrator also recognized the potential for food spoilage if refrigeration equipment is not functioning correctly, emphasizing the expectation for regular temperature checks and documentation.
Medication Labeling and Expiration Deficiency
Penalty
Summary
The facility failed to ensure that all drugs used were labeled according to professional standards and used before their expiration dates. During an observation, a medication cart on C1 Hall was found to contain a multi-dose vial of Novolog insulin that had been opened on September 10, 2024, and exceeded the 28-day use date by eight days. Additionally, the cart contained medications such as Pro-Air multi-use inhaler, guaifenesin syrup, and milk of magnesia, which were opened but not dated. Another observation on C2 Hall revealed an unopened epinephrine pen that had expired in July 2024. Interviews with nursing staff and a pharmacist highlighted the responsibility of nurses to ensure medications are not expired and are labeled with the date opened. The staff acknowledged the risk of decreased effectiveness of expired medications. The Assistant Director of Nursing and the Administrator emphasized the expectation for nursing staff to adhere to the facility's policies, which include monitoring medication carts for expired drugs and ensuring proper labeling.
Deficiency in Serving Hot Food at Proper Temperature
Penalty
Summary
The facility failed to serve hot food at a proper and palatable temperature, as observed during a test tray evaluation. On 10/16/2024, scrambled eggs served to residents were found to be at 114 degrees Fahrenheit, which is below the expected temperature for hot foods. The facility's policy requires hot foods to be served as hot as safely possible to meet the palatability requirement of the resident community. However, the scrambled eggs were not served at the appropriate temperature, leading to dissatisfaction among residents. The Dietary Meal Temperature Log indicated that the scrambled eggs were initially at 172 degrees Fahrenheit at 7:30 AM and 170 degrees Fahrenheit at 8:15 AM, suggesting a failure in maintaining the temperature until the point of service. Interviews with staff revealed issues with the warming process. The Dietary Manager and Supervisor acknowledged that plates were not adequately heated, and the scrambled eggs were not hot enough to be acceptable to residents. A resident expressed dissatisfaction with the cold food and reported that staff became frustrated when asked to warm the food. The Assistant Director of Nursing expected food to be served at the proper standard temperature, and the Administrator stated that if hot food was cold, a new tray would be provided. These observations and interviews highlight a deficiency in the facility's food service process, impacting the quality of meals served to residents.
Infection Control Deficiencies in Medication Administration and Tray Handling
Penalty
Summary
The facility failed to adhere to its infection prevention and control policies, resulting in increased risk for healthcare-associated infections for two residents. During medication administration, an LPN did not perform hand hygiene or use gloves when administering medications, including eye drops, to a resident. Additionally, the LPN had an open bottle of iced coffee on the medication cart, which is against infection control practices. An Activity Assistant also failed to wash hands or use gloves while assisting a resident with their breakfast, directly handling the food with bare hands. Interviews with the LPN and Activity Assistant confirmed their awareness of the proper procedures, which they neglected to follow. Furthermore, the facility did not manage used meal trays properly in the C Unit/COVID Unit kitchenette. Observations revealed that soiled breakfast and lunch trays were left on the sink, potentially leading to cross-contamination. Staff interviews indicated that the trays were left due to the unavailability of a tray cart for late trays, and dietary staff were responsible for picking them up. Despite staff assertions that there was no cross-contamination risk, the improper handling of soiled trays in a non-food prep area was noted as a concern.
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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 Florence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belmont Terrace Nursing And Rehabilitation Center | 0.6 mi | — | 0 | 0 |
| Villaspring Of Erlanger | 1.3 mi | — | 5 | 0 |
| Village Care Center | 2.6 mi | — | 7 | 0 |
| Emerald Trace | 2.7 mi | — | 0 | 0 |
| Woodcrest Nursing And Rehabilitation Center | 2.8 mi | — | 0 | 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.