Inspection Report

Treasure Isle Care Center: Repeated Infection Control Failures - FL

November 13, 2026

North Bay Village, FL

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Healthcare Facility

Treasure Isle Care Center

North Bay Village, FL · 2/5 stars

The infection control problem they were supposed to fix was still there.

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When federal inspectors arrived on March 4, 2025, they found that Treasure Isle Care Center had failed to demonstrate its corrective plans were actually working. The specific violation, tagged F880 for infection prevention and control, had first been cited during a recertification survey that ended June 13, 2024. Nine months had passed. The facility's 168 residents remained in a building where the same deficient infection control practices that drew scrutiny the previous summer had not been effectively addressed.

The administrator, interviewed the morning of the inspection, described the committee's purpose in broad terms. "The purpose of the QAPI committee is to make sure that we are doing everything in our power so that to ensure quality care and the systems are remaining function and to identify anything we can improve where we failed," he said. "Where we identify failures, we will implement a plan to correct and follow-up biweekly."

The committee had met December 31, January 30, and February 27. Sign-in sheets confirmed the attendance. What the records did not confirm was that the meetings had produced any effective correction to the infection control failures inspectors had already documented.

This is the central problem inspectors identified: not an absence of process, but a process that wasn't working. The facility had a Quality Assessment and Assurance policy on the books since July 2022. The policy described exactly what a functioning quality committee is supposed to do, including systematic data review, root cause analysis, and corrective action. Nearly 20 people showed up to the meetings. The administrator could recite the committee membership from memory.

None of it translated into fixing the problem.

Infection prevention and control violations are among the more consequential citations a nursing home can receive. In a congregate setting like Treasure Isle, where 168 residents share staff, common spaces, and air, failures in infection control create conditions where illness can spread quickly and widely. The inspection report noted the deficient practices had the potential to affect every one of those residents.

The violation was classified as causing minimal harm or potential for actual harm, the lower end of the severity scale. But the finding carried a specific weight that a first-time citation would not: this was a repeat. The facility had already been told, in writing, with formal regulatory citation, that its infection control program had problems. It had assembled a committee that by the administrator's own description exists specifically to find failures and fix them. It had held monthly meetings with department heads from nearly every corner of the building's operations.

And when inspectors walked back in nine months later, the deficiency was still there to find.

The inspection report does not identify what specific infection control practices remained deficient, what the root cause analysis concluded, or whether the committee ever identified the correct problem in the first place. What it documents is the gap between an elaborate quality improvement structure and the actual outcome: a cited deficiency that the facility's own systems were designed to catch and correct, and didn't.

The 168 residents at Treasure Isle Care Center as of March 4, 2025, were living in a facility where the people responsible for catching problems had been meeting regularly, signing in, and describing their mission in exactly the right language, while the problem those meetings were supposed to solve remained unresolved beneath them.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Treasure Isle Care Center from 2025-03-04 including all violations, facility responses, and corrective action plans.

Additional Resources

Editorial Standards & Data Disclosure

Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.

Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.

Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.

Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.

Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: November 13, 2026 · Our methodology

Quick Answer

TREASURE ISLE CARE CENTER in NORTH BAY VILLAGE, FL was cited for violations during a health inspection on March 4, 2025.

The infection control problem they were supposed to fix was still there.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at TREASURE ISLE CARE CENTER?

The infection control problem they were supposed to fix was still there.

How serious are these violations?

Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.

What should families do?

Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in NORTH BAY VILLAGE, FL, (5) Report any new concerns directly to state authorities.

Where can I see the full inspection report?

The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from TREASURE ISLE CARE CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 105408.

Has this facility had violations before?

To check TREASURE ISLE CARE CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.