Casa Mora Rehabilitation and Extended Care
1902 59th St W, Bradenton, FL 34209 · Manatee County · 240 certified beds · avg 210 residents/day · certified since Jun 5, 1978
Abuse citation flag (CMS)SFF Candidate
Part of chain: FLORIDA INSTITUTE FOR LONG-TERM CARE (17 facilities, chain avg rating 2.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Sep 11, 2025 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 10, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 11, 2025 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 10, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 11, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 10, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 2, 2024 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 2, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 2, 2024 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 2, 2024 · F-0867
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 7, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 7, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Sep 11, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Sep 11, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Sep 11, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 18, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| Feb 2, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Feb 2, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 2, 2024 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Feb 2, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Feb 2, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 2, 2024 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 24, 2022 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 24, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 24, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 24, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 8, 2021 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 8, 2021 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 8, 2021 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | E |
| 2022 | 4 | 0 | E |
| 2024 | 11 | 4 | J ▲ |
| 2025 | 6 | 3 | K ▲ |
| 2026 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $73,220.
| Date | Type | Amount / length |
|---|---|---|
| Feb 2, 2024 | Fine | $73,220 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.17 | 4.03 | 3.95 | top 28% in Florida; top 33% in the U.S. |
| Registered Nurse hours | 0.92 | 0.76 | 0.69 | top 24% in Florida; top 20% in the U.S. |
| Weekend total nurse staffing | 3.93 | 3.68 | 3.50 | top 21% in Florida; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.53 | 0.48 | top 27% in Florida; top 21% in the U.S. |
| Total nursing staff turnover (%) | 32.1 | 41.4 | 45.8 | top 26% in Florida; top 18% in the U.S. |
| RN turnover (%) | 40.0 | 46.0 | 42.9 | top 38% in Florida; top 46% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.38, RN 0.74, weekend 3.19. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fi-Casa Mora, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/23/2002 |
| Florida Institute for Long Term Care LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/23/2002 |
| Aegir Health Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2009 |
| Aegir Health Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Consulting Support Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/28/2011 |
| Consulting Support Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Facility Support Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/13/2010 |
| Facility Support Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/20/2025 |
| Florida Institute for Long Term Care LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Jaffe, Howard | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Kane Financial Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/06/2012 |
| Kane Financial Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/20/2025 |
| Katz-Hall, Kathy | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Mullarkey, James | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Nusbaum, Jeff | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/16/2020 |
| Nusbaum, Jeff | Individual | ADP of the SNF | NOT APPLICABLE | 10/16/2020 |
| Omega Health Investors, INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2003 |
| Richmond, Penny | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Sanders, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/09/2020 |
| Sanders, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 10/09/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Surrey Place Healthcare and Rehabilitation | 0.2 mi | Bradenton, FL | ★★★★☆ | 3/5 | |
| Inn at Freedom Village, the | 0.3 mi | Bradenton, FL | ★★★☆☆ | 2/5 | |
| Heritage Park Health Center by Harborview | 0.3 mi | Bradenton, FL | ★★★☆☆ | 3/5 | |
| Aviata at Palma Sola Bay | 1.5 mi | Bradenton, FL | ★☆☆☆☆ | 1/5 | |
| Westminster Point Pleasant | 2.8 mi | Bradenton, FL | ★★★★☆ | 3/5 | |
| Greenbriar Healthcare Rehabilitation and Nursing C | 3.4 mi | Bradenton, FL | ★★★☆☆ | 3/5 | |
| Aviata at Bradenton | 4.5 mi | Bradenton, FL | ★★☆☆☆ | 1/5 | |
| Riviera Palms Rehabilitation Center | 4.9 mi | Palmetto, FL | ★★☆☆☆ | 1/5 | abuse |
| Manatee Springs Rehabilitation and Nursing Center | 4.9 mi | Bradenton, FL | ★★☆☆☆ | 1/5 | abuse |
| Braden River Rehabilitation Center LLC | 5.0 mi | Bradenton, FL | ★★★★☆ | 3/5 | |
| Life Care Center of Sarasota | 8.8 mi | Sarasota, FL | ★★★★☆ | 3/5 | |
| Siesta Key Health and Rehabilitation Center | 9.2 mi | Sarasota, FL | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105327.