The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Dade City Health And Rehabilitation Center are:
F-0578 · December 17, 2025 · Grade J — Immediate jeopardy
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date January 16, 2026
F-0600 · December 17, 2025 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date January 16, 2026
F-0678 · December 17, 2025 · Grade J — Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date January 16, 2026
F-0726 · December 17, 2025 · Grade J — Immediate jeopardy
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date January 16, 2026
F-0600 · October 6, 2023 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date November 6, 2023
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Dade City Health And Rehabilitation Center, 14 subject areas appear across health and fire-safety inspections.
Quality of life and daily care
16 citations between November 19, 2020 and December 17, 2025. The most serious was graded J — immediate jeopardy, affecting one or a very small number of residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 5 of these citations came out of complaint investigations. Correction record: 16 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0678 · December 17, 2025 · Grade J — Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F-0689 · October 6, 2023 · Grade J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0689 · July 15, 2025 · Grade E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident rights
12 citations between November 19, 2020 and December 17, 2025. The most serious was graded J (immediate jeopardy). 5 of these citations came out of complaint investigations. Correction record: 12 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0578 · December 17, 2025 · Grade J — Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F-0578 · April 25, 2024 · Grade G — Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F-0585 · October 6, 2023 · Grade E — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Freedom from abuse, neglect, and exploitation
2 citations between October 6, 2023 and December 17, 2025. The most serious was graded J (immediate jeopardy). 2 of these citations came out of complaint investigations. Correction record: 2 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · December 17, 2025 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · October 6, 2023 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing and Physician Services
1 citation between December 17, 2025 and December 17, 2025. The most serious was graded J (immediate jeopardy). 1 of these citations came out of complaint investigations. Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0726 · December 17, 2025 · Grade J — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Assessments and care planning
7 citations between November 19, 2020 and November 18, 2024. The most serious was graded F (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0645 · April 25, 2024 · Grade F — PASARR screening for Mental disorders or Intellectual Disabilities
F-0842 · November 18, 2024 · Grade E — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0641 · April 25, 2024 · Grade D — Ensure each resident receives an accurate assessment.
Food, nutrition, and hydration
4 citations between November 19, 2020 and April 25, 2024. The most serious was graded F (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · April 25, 2024 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0803 · October 6, 2023 · Grade E — Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F-0812 · November 19, 2020 · Grade E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration and leadership
4 citations between October 6, 2023 and April 25, 2024. The most serious was graded F (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0867 · April 25, 2024 · Grade F — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0770 · April 25, 2024 · Grade D — Provide timely, quality laboratory services/tests to meet the needs of residents.
F-0895 · April 25, 2024 · Grade D — Have a Compliance and Ethics Program.
Infection prevention and control
3 citations between February 11, 2022 and April 25, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · April 25, 2024 · Grade F — Provide and implement an infection prevention and control program.
F-0885 · February 11, 2022 · Grade E — Report COVID19 data to residents and families.
F-0886 · February 11, 2022 · Grade E — Perform COVID19 testing on residents and staff.
Medication and pharmacy services
5 citations between November 19, 2020 and April 25, 2024. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0759 · April 25, 2024 · Grade E — Ensure medication error rates are not 5 percent or greater.
F-0758 · October 6, 2023 · Grade E — Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F-0755 · April 25, 2024 · Grade D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Gas, Vacuum, and Electrical Systems
3 citations between November 19, 2020 and April 25, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0923 · April 25, 2024 · Grade D — Have proper medical gas storage and administration areas.
K-0918 · November 19, 2020 · Grade D — Have generator or other power source capable of supplying service within 10 seconds.
K-0921 · November 19, 2020 · Grade D — Ensure that testing and maintenance of electrical equipment is performed.
Egress
2 citations between November 19, 2020 and November 19, 2020. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0211 · November 19, 2020 · Grade D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0293 · November 19, 2020 · Grade D — Have properly located and lighted "Exit" signs.
Fire, smoke, and emergency safety
2 citations between November 19, 2020 and November 19, 2020. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0351 · November 19, 2020 · Grade D — Install an approved automatic sprinkler system.
K-0353 · November 19, 2020 · Grade D — Inspect, test, and maintain automatic sprinkler systems.
Construction
1 citation between April 25, 2024 and April 25, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0100 · April 25, 2024 · Grade D — Meet other general requirements.
Services
1 citation between April 25, 2024 and April 25, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0511 · April 25, 2024 · Grade D — Have properly installed electrical wiring and gas equipment.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Dade City Health And Rehabilitation Center appears in CMS data on 9 survey dates between November 19, 2020 and December 17, 2025. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
December 17, 2025
Complaint health survey — 4 citations, worst grade J (immediate jeopardy)
July 15, 2025
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
November 18, 2024
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
April 25, 2024
Health survey including complaint investigations — 14 citations, worst grade G (actual harm)
April 25, 2024
Fire-safety survey — 3 citations, worst grade D (potential for more than minimal harm)
October 6, 2023
Complaint health survey — 9 citations, worst grade J (immediate jeopardy)
February 11, 2022
Standard health survey — 10 citations, worst grade E (potential for more than minimal harm)
November 19, 2020
Standard health survey — 11 citations, worst grade E (potential for more than minimal harm)
November 19, 2020
Fire-safety survey — 6 citations, worst grade D (potential for more than minimal harm)
Penalties imposed
December 17, 2025 — Fine of $8,672
December 17, 2025 — Fine of $8,673
April 25, 2024 — Fine of $12,542
April 25, 2024 — Fine of $15,655
October 6, 2023 — Fine of $39,270
October 6, 2023 — Payment denial · Medicare/Medicaid payments denied for 26 days from November 17, 2023
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Dade City Health And Rehabilitation Center has 1 denial period on record totalling 26 days.
How Dade City Health And Rehabilitation Center compares with peer homes
Raw citation counts mean more in context. The table below compares Dade City Health And Rehabilitation Center with the median reviewed facility in Pasco County (4 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Dade City Health And Rehabilitation Center sits above 100% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Pasco Co. median
Florida median
Health citations on record
54
19
30
Citations from complaint investigations
20
4
7
Citations at actual-harm level or worse
7
2
3
Immediate-jeopardy citations
6
1
2
Total fines in CMS penalty records
$84,812
$29,772
$59,961
Penalty records (fines + payment denials)
6
1
2
What families should ask Dade City Health And Rehabilitation Center
- Ask why CMS flags Dade City Health And Rehabilitation Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on October 6, 2023 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0578 on December 17, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on October 6, 2023 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the nursing and physician services citations — most recently F-0726 on December 17, 2025 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 5 totalling $84,812, the most recent dated December 17, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Dade City Health And Rehabilitation Center first document the change?
- Were recent complaint-related citations at Dade City Health And Rehabilitation Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
105320
Legal business name
HERITAGE PARK OPERATIONS LLC
Ownership type
For profit - Limited Liability company
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
March 11, 1980
Chain name
SIMCHA HYMAN & NAFTALI ZANZIPER
Certified beds
120
Average residents per day
113.1
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
3 star
Reported nurse staffing hours per resident day
3.47359
Total nursing staff turnover
41.2%
Public records are a starting point, not a conclusion
This profile of Dade City Health And Rehabilitation Center uses official CMS provider data as a research starting point. It does not state that Dade City Health And Rehabilitation Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Legal help resource
Suspect nursing home abuse or neglect?
Public records are only part of the picture. If your family believes a Florida nursing home harmed your loved one, you can speak with a Florida nursing home abuse lawyer about what happened and what options your family may have. Senior Justice Help is not a law firm and is not affiliated with any law firm; this link is provided as a resource only.
Injury and neglect guides
When a Florida care injury may involve negligence
Inspection records show what regulators found; they do not by themselves prove a legal claim. If your family is looking back at a serious injury or death in a Florida nursing home or care facility, these guides explain the deadlines, procedures, records, and questions that apply in Florida:
- Stroke misdiagnosis lawyer information in Florida
- Falls and fractures in Florida care facilities: legal information
- Pressure injuries and bedsores: Florida legal information
- Sepsis from infection in Florida care facilities: legal information
- Medication errors in Florida care facilities: legal information
- Wrongful death in a Florida care facility: legal information
Sources for Dade City Health And Rehabilitation Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.