11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
South Pasadena, FL
3-star overall rating with 2-star inspections with $79,797 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1820 Shore Dr S, South Pasadena, FL
(727) 384-9300
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
58
Certified beds
Average residents
0
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aviata Health Group
Operator or chain grouping
Approved since
1979-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
52 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.1% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 18.52% · Lower 95% interval 7.9% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.38 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 95% |
95.27%
0.3 pts worse
|
Numerator 19 · Denominator 20 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 20 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
2.1
1.4 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 1.9 · Expected 4.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.2
0.4 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.8 · Expected 2.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 28.2% |
97.8%
69.6 pts worse
|
93.4%
65.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · 4Q avg 28.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 43.6% |
99.2%
55.6 pts worse
|
95.5%
51.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 43.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% |
2.6%
2.5 pts worse
|
3.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8% |
15.7%
1.9 pts better
|
19.6%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.5% |
9.8%
5.3 pts better
|
16.7%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
5.1%
4.2 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 11.4% |
94.3%
82.9 pts worse
|
81.7%
70.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 16.7% · 4Q avg 11.4% |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (3 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-03-06
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-03-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-06
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-03-06
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-07-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-07-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-07-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-07-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-07-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-07-23
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2019-10-11
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-10-11
Fire Safety
Develop a communication plan.
Corrected 2019-10-11
Fire Safety
Establish emergency prep training and testing.
Corrected 2019-10-11
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-10-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-10-11
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-10-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-10-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-10-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-10-11
Inspection history
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-14
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-06-12
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-06-12
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-04
Health
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.
Corrected 2023-03-04
Health
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.
Corrected 2023-03-04
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-03-04
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-04
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-03-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-04
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-03-04
Health
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.
Corrected 2023-03-04
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-03-04
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-03-04
Health
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.
Corrected 2021-07-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-07-23
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2021-07-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-07-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-07-23
Health
Provide activities to meet all resident's needs.
Corrected 2021-07-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-07-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-07-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-10-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-10-10
Health
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.
Corrected 2019-10-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-10
Penalties and ownership
Fine · fine $13,635
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $12,587
Fine
Fine · fine $3,496
Fine
Fine · fine $3,147
Fine
Fine · fine $2,797
Fine
Fine · fine $2,447
Fine
Fine · fine $5,244
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Contracted Managing Employee · Individual
Nearby options
Pasadena, FL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $504,025 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
South Pasadena, FL
2-star overall rating with 1-star inspections with abuse icon flag with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Saint Petersburg, FL
2-star overall rating with 2-star inspections with $5,346 in total fines with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Jump out