Public Record
South Campus Care Center and Rehab
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 120
- Avg. residents per day
- 113.2
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 45
- Inspections on file
- 8
- Last inspection
- 2026-01-08
*CMS
*CMS
*CMS
Citations
45 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0100Generalpotential for harm
Meet other general requirements.
- 0694Generalpotential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0584Generalpotential for harm
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.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0761Generalpotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0584Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0224Generalpotential for harm
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
- 0325Generalpotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0741Generalpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0009Generalpotential for harm
Include a process for Emergency Preparedness collaboration.
- 0025Generalpotential for harm
Create arrangements with other facilities to receive patients.
- 0030Generalpotential for harm
List the names and contact information of those in the facility.
- 0034Generalpotential for harm
Provide a means of sharing information on occupancy/needs.
- 0352Generalpotential for harm
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
Inspection findings
What the surveyors documented
The verbatim CMS Form 2567 statement of deficiencies for each survey, straight from the federal record. Open a report for the full findings and plan of correction.
- Inspection10 deficiencies
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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. **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - Inspection2 deficiencies
F 0584 Level of Harm - Minimal harm or potential for actual harm 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. 2) During an observation on 4/29/2025 at 9:15 AM of Resident…
Read full statement of deficiencies - Inspection15 deficiencies
F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure assessments accurately…
Read full statement of deficiencies - Inspection2 deficiencies
F 0842 Level of Harm - Minimal harm or potential for actual harm Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Based on record review and interview, the facility failed to maintain accurate…
Read full statement of deficiencies - Inspection16 deficiencies
F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure accommodate…
Read full statement of deficiencies
FAQ
Questions and answers
- What is South Campus Care Center and Rehab?
- South Campus Care Center and Rehab is a Medicare- and Medicaid-certified nursing home in Leesburg, FL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 105375.
- What is the CMS rating for South Campus Care Center and Rehab?
- South Campus Care Center and Rehab has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does South Campus Care Center and Rehab have?
- South Campus Care Center and Rehab is certified for 120 beds. It serves an average of 113.2 residents per day.
- How many citations does South Campus Care Center and Rehab have?
- South Campus Care Center and Rehab has 45 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was South Campus Care Center and Rehab last inspected?
- South Campus Care Center and Rehab was last inspected on January 8, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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