SNF

SIESTA KEY HEALTH AND REHABILITATION CENTER

CCN: 105407 · SARASOTA, FL 34234 · Sarasota County

Overview

Address
4602 NORTHGATE COURT, SARASOTA, FL 34234
Phone
9413552913
Certified beds
120
Avg daily residents
83 (69% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1982-05-26
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.52 3.22 4.23 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.47 0.56 0.56 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.96 0.71 1.15 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.10 1.94 2.52 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.43 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.12 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.22
hrs / resident / day
RN (weekend)
0.26
hrs / resident / day
Total nurse (adjusted, weekend)
3.86
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
56.6%
annual
RN turnover
58.3%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.14
near national average
Case-Mix Index Ratio
0.83
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-08-01 3 3 0 24 1 24
Cycle 2/3 (prior) 2024-02-23 10 3 7 60 1 60
Total weighted health score
33.0
lower is better

Deficiencies (30)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

22 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
7 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-08-01 2024-09-06
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2024-08-01 2024-09-06
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2024-08-01 2024-09-06
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. E 2024-02-23 2024-03-23
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-02-23 2024-03-23
0679 Provide activities to meet all resident's needs. D 2024-02-23 2024-03-23
0578 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. D 2023-08-06 2023-11-27
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. K 2023-08-06 2023-11-27
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2023-08-06 2023-11-27
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-08-06 2023-11-27
0685 Assist a resident in gaining access to vision and hearing services. D 2023-08-06 2023-11-27
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2023-08-06 2023-11-27
0730 Observe each nurse aide's job performance and give regular training. E 2023-08-06 2023-11-27
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-08-06 2023-11-27
0759 Ensure medication error rates are not 5 percent or greater. E 2023-08-06 2023-11-27
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2023-08-06 2023-11-27
0791 Provide or obtain dental services for each resident. G 2023-08-06 2023-11-27
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. E 2023-08-06 2023-11-27
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. K 2023-08-06 2023-11-27
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. K 2023-08-06 2023-11-27
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. K 2023-08-06 2023-11-27
0880 Provide and implement an infection prevention and control program. K 2023-08-06 2023-11-27
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. K 2023-08-06 2023-11-27
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. D 2023-08-06 2023-11-27
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-08-06 2023-11-27
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2023-05-02 2023-05-21
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-05-02 2023-05-21
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2023-05-02 2023-05-21
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. E 2023-05-02 2023-05-21
0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. E 2023-05-02 2023-05-21

Penalties (2)

Fines issued
1
last 3 years
Total fines
$317,977
Payment denials
1
Date Type Fine amount
2023-08-06 Fine $317,977
2023-08-06 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.2% Medicaid 75.2% Other 21.7%

Operating performance

Operating Margin
-31.2%
Total Margin
-35.9%
Occupancy Rate
73.3%
Cost per Resident Day
$25

Revenue & costs

Net Patient Revenue
$10.0M
Total Costs
$802K
Net Income
-$3.5M

Balance sheet

Total Assets
$4.3M
Total Liabilities
$10.5M
Fund Balance
-$6.1M
Current Ratio
0.28

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: SIMCHA HYMAN & NAFTALI ZANZIPER

Chain ID
580
Facilities in chain
94
Legal business name
SARASOTA FL OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.5
Staffing
2.3
QM
3.0

Owner / manager individuals (4)

Name Role Association
HYMAN, SIMCHA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/20/2020
ZANZIPER, NAFTALI 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/20/2020
GORELICK, BATYA CORPORATE OFFICER since 04/20/2020
BEARD, LAURA W-2 MANAGING EMPLOYEE since 04/20/2020

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $25 metrics.cost_per_resident_day
Cost Report Current Ratio 0.28 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 75.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.2% metrics.medicare_day_share
Cost Report Net Income ($) $-3,458,051 metrics.net_income
Cost Report Net Patient Revenue ($) $9,970,345 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 73.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -31.2% metrics.operating_margin
Cost Report Total Assets ($) $4,309,194 metrics.total_assets
Cost Report Total Costs ($) $801,714 metrics.total_costs
Cost Report Total Fund Balances ($) $-6,148,785 metrics.fund_balance
Cost Report Total Liabilities ($) $10,457,979 metrics.total_liabilities
Cost Report Total Margin (%) -35.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.15150 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.51752 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.56085 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.22988 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.86283 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 83.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.71401 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.94052 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.56279 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.21732 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.83573 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.3 Chain Average Staffing Rating
Provider Information Chain ID 580 Chain ID
Provider Information Chain Name SIMCHA HYMAN & NAFTALI ZANZIPER Chain Name
Provider Information City/Town SARASOTA City/Town
Provider Information CMS Certification Number (CCN) 105407 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Sarasota County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1982-05-26 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 27.3752 Latitude
Provider Information Legal Business Name SARASOTA FL OPCO LLC Legal Business Name
Provider Information Location 4602 NORTHGATE COURT,SARASOTA,FL,34234 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -82.534 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 94 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.13975 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.82732 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4602 NORTHGATE COURT Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SIESTA KEY HEALTH AND REHABILITATION CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 570 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 24 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-08-01 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 24 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 3 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-23 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 60 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 7 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 60 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 10 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.26363 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 58.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.42691 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.95955 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.09786 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.11887 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.46736 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.52476 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 9413552913 Telephone Number
Provider Information Total Amount of Fines in Dollars 317977.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.21891 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 56.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 33.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 34234 ZIP Code