Timberridge Nursing & Rehabilitation Center
9848 SW 110th St, Ocala, FL 34481 · Marion County · 180 certified beds · avg 167 residents/day · certified since Mar 1, 1991
Part of chain: SUMMIT CARE (22 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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, one-off · Jan 19, 2024 · F-0600 · triggered by a complaint
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: Feb 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jan 19, 2024 · F-0835 · triggered by a complaint
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: Feb 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jan 19, 2024 · F-0867 · triggered by a complaint
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: Feb 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 4, 2026 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Feb 4, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 4, 2026 | 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. |
| Feb 4, 2026 | 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. |
| Feb 4, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 4, 2026 | D · Potential for harm, one-off | 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. |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 29, 2024 | D · Potential for harm, one-off | 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. |
| Jan 19, 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. · from a complaint |
| Jan 19, 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. · from a complaint |
| Jan 19, 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. · from a complaint |
| Oct 13, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 13, 2023 | 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. · from a complaint |
| Oct 13, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 27, 2023 | E · Potential for harm, repeated | 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. |
| Apr 27, 2023 | 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. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 27, 2023 | D · Potential for harm, one-off | 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. |
| Apr 27, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | E |
| 2024 | 9 | 3 | J ▲ |
| 2026 | 6 | 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 $119,636.
| Date | Type | Amount / length |
|---|---|---|
| Jan 19, 2024 | Fine | $119,636 |
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) | 3.65 | 4.03 | 3.95 | bottom 28% in Florida; bottom 44% in the U.S. |
| Registered Nurse hours | 0.52 | 0.76 | 0.69 | bottom 26% in Florida; bottom 41% in the U.S. |
| Weekend total nurse staffing | 3.28 | 3.68 | 3.50 | bottom 19% in Florida; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.53 | 0.48 | bottom 19% in Florida; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 41.4 | 45.8 | bottom 42% in Florida; top 48% in the U.S. |
| RN turnover (%) | 44.4 | 46.0 | 42.9 | top 47% in Florida; bottom 45% 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 3.66, RN 0.52, weekend 3.28. Staffing rating: 3/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CH Timberridge Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| Drebin, Ezriel | Individual | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| Ed Florida Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| KF Florida Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| Schlesinger, Ernest | Individual | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| SE Florida Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| Seam Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| Sylvan Sunshine LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/30/2019 |
| Timberridge Operations Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/30/2019 |
| Klein, Solomon | Individual | Corporate Officer | NOT APPLICABLE | 05/30/2019 |
| Soehner, Richard | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "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?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Bridgewater Park Health & Rehabilitation Center | 5.8 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Hawthorne Center for Rehabilitation and Healing of | 8.7 mi | Ocala, FL | ★☆☆☆☆ | 1/5 | |
| Life Care Center of Ocala | 8.9 mi | Ocala, FL | ★★★★★ | 4/5 | |
| Palm Garden of Ocala | 9.3 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Avante at Ocala, INC | 11.4 mi | Ocala, FL | ★☆☆☆☆ | 1/5 | |
| Ocala Health and Rehabilitation Center | 11.9 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| The Lodge Healthcare and Rehabilitation Center | 11.9 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Aviata at Arbor Springs | 11.9 mi | Ocala, FL | ★★☆☆☆ | 1/5 | |
| Grove Healthcare and Rehabilitation Center and Reh | 14.7 mi | Hernando, FL | ★★★☆☆ | 2/5 | |
| Arbor Trail Rehab and Skilled Nursing Center | 15.3 mi | Inverness, FL | ★★★★★ | 4/5 | |
| Ocala Oaks Rehabilitation Center | 15.5 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Aviata at Brentwood | 15.8 mi | Lecanto, FL | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105717.