Federal inspection record · CMS data as of October 1, 2026
Blue Palms Health And Rehabilitation Center At Fle
4100 E Fletcher Ave, Tampa, FL · (813) 632-2455
- Certified beds
- 163
- Residents per day
- 133
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 17, 1979
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Blue Palms Health And Rehabilitation Center At Fle carries 67 inspection points. That is fewer than 27% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
37 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service8E
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Resident Rights7E
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care6D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning5E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2E
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration1D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-04-10
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2021-11-05
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2020-02-20
18 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 30 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 65% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$16,801 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-10 | Fine | $4,017 |
| 2024-04-10 | Fine | $12,784 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 0.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts better | 99.6% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 1.8% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.9 pts better | 3.5% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight9.8 pts worse | 15.3% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better | 7.0% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts better | 3.2% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.4 pts worse | 21.8% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.7 pts worse | 19.0% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 0.7% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 0.8% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse | 10.9% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 5.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 96.9% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts better | 3.4% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts worse | 94.1% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.5 pts worse | 33.3% | 25.8% | 23.4% |
·
Who owns and runs it
68 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fletcher Fl Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Adam Sasouness Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Adam Sasouness Family Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Alvior, Jonathan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Alvior, Jonathan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Alvior, Jonathan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Arem, Cheryl | Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Arem, Jeffrey | Indirect Ownership Interest · Individual | 0% | 29 facilities |
| Benish, Yossi | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Benish, Yossi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Berman, Jordan | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Bester Healthcare Investors LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Bester Healthcare Investors LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bredlegs Holdings LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Cheryl Arem Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Dana Sasouness Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Dana Sasouness Family Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| David Alexander Investments LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| David Alexander Investments LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Dch Portfolio LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Dreifus, Uri | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Eisen, Menashe | Indirect Ownership Interest · Individual | 0% | 18 facilities |
| Fletcher Fl Land Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Fletcher Fl Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Fried, Binyomin | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Fried, Binyomin | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Fried, Binyomin | Adp Of The SNF · Individual | 0% | 4 facilities |
| Frohlich Financial Group, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Frohlich Financial Group, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Frohlich, Marc | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Frohlich, Marc | Adp Of The SNF · Individual | 0% | 1 facilities |
| Greener Aleph LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Greener Aleph LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Herskovitz, Miriam | Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Herskovitz, Miriam | Adp Of The SNF · Individual | 0% | 8 facilities |
| Herskowitz, David | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Im Family Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Isaac S. Moskowitz Family Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Jca Capital Associates LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Jeffrey Arem Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Js Family Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Kafka, Matthew | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Kirby, Ivana | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Kirby, Ivana | Adp Of The SNF · Individual | 0% | 2 facilities |
| Klein, Yehudis | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Lombrozo, Jessica | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Maalot, A Non-Profit Corporation | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Maalot, A Non-Profit Corporation | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mermelstein, Bernie | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Miriam T. Herskovitz Family Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Moskowitz, Isaac | Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Mudry Capital LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Mudry Capital LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Naumberg, Steven | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Rekant, Jacob | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Rivka L Ginsparg Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Rivka L Ginsparg Trust | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sasouness, Esther | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Soued, Alphonse | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Spodek, Ari | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Sturm, Joshua | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Sturm, Joshua | Adp Of The SNF · Individual | 0% | 3 facilities |
| Tampa 5 Investors LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Tampa 5 Investors LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Us Tlv LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Us Tlv LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Woodland Holdings V LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Woodland Holdings V LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
·
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