Federal inspection record · CMS data as of October 1, 2026

Eagle Lake Nursing And Rehab Care Center

1100 66th St N, Saint Petersburg, FL · (727) 345-9331

CMS overall rating

1 of 5

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Certified beds
59
Residents per day
36
Ownership
For-Profit
Chain
Blue Ridge Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 7, 1976

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.

  2. 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.

  3. Quality measures

    no change (already 1)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Florida homes

Eagle Lake Nursing And Rehab Care Center carries 239.5 inspection points. That is fewer than 3% of Florida's 691 rated homes.

5★4★3★2★1★+18 homes above 251.4805102550100200inspection points → fewer is better on the leftThis home · 239.5 pts · 1★

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

45 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 2 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 31 4 pts
E 6 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (6)

  1. G

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    September 18, 2024 · Complaint inspection · Resident Rights · F622 · Corrected November 30, 2024

  2. G

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    September 18, 2024 · Complaint inspection · Resident Rights · F626 · Corrected November 30, 2024

  3. G

    Ensure that residents are free from significant medication errors.

    August 29, 2024 · Standard inspection · Pharmacy Service · F760 · Corrected September 29, 2024

  4. G

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    August 29, 2024 · Complaint inspection · Administration · F867 · Corrected January 27, 2025

  5. K

    Plan the resident's discharge to meet the resident's goals and needs.

    November 2, 2023 · Complaint inspection · Resident Assessment and Care Planning · F660 · Corrected December 20, 2023

  6. K

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    November 2, 2023 · Complaint inspection · Quality of Life and Care · F745 · Corrected December 20, 2023

Everything else, by area of care

Resident Assessment and Care Planning12E
  1. E

    PASARR screening for Mental disorders or Intellectual Disabilities

    August 29, 2024 · Standard · F645 · Corrected September 29, 2024

  2. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    August 29, 2024 · Standard · F640 · Corrected September 29, 2024

  3. D

    Ensure each resident receives an accurate assessment.

    August 29, 2024 · Standard · F641 · Corrected November 30, 2024

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 29, 2024 · Standard · F656 · Corrected November 30, 2024

  5. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 2, 2023 · Complaint · F842 · Corrected December 20, 2023

  6. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    September 8, 2022 · Standard · F655 · Corrected October 8, 2022

  7. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 8, 2022 · Standard · F656 · Corrected October 8, 2022

  8. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 8, 2022 · Standard · F657 · Corrected October 8, 2022

  9. D

    Ensure each resident receives an accurate assessment.

    March 18, 2021 · Standard · F641 · Corrected April 18, 2021

  10. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    March 18, 2021 · Standard · F655 · Corrected April 18, 2021

  11. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 18, 2021 · Standard · F657 · Corrected July 10, 2021

  12. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 18, 2021 · Standard · F842 · Corrected April 18, 2021

Resident Rights6E
  1. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    September 18, 2024 · Complaint · F623 · Corrected November 30, 2024

  2. E

    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.

    August 29, 2024 · Complaint · F584 · Corrected January 27, 2025

  3. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 29, 2024 · Complaint · F554 · Corrected January 27, 2025

  4. 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.

    September 8, 2022 · Standard · F578 · Corrected October 8, 2022

  5. 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.

    March 18, 2021 · Standard · F584 · Corrected April 18, 2021

  6. 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.

    March 18, 2021 · Standard · F585 · Corrected April 18, 2021

Quality of Life and Care6D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 29, 2024 · Standard · F677 · Corrected September 29, 2024

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 29, 2024 · Standard · F695 · Corrected January 27, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 2, 2023 · Complaint · F684 · Corrected December 20, 2023

  4. D

    Provide safe, appropriate pain management for a resident who requires such services.

    November 2, 2023 · Complaint · F697 · Corrected December 20, 2023

  5. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 18, 2021 · Standard · F677 · Corrected April 18, 2021

  6. D

    Provide activities to meet all resident's needs.

    March 18, 2021 · Standard · F679 · Corrected April 18, 2021

Pharmacy Service6E
  1. D

    Ensure medication error rates are not 5 percent or greater.

    August 29, 2024 · Standard · F759 · Corrected January 27, 2025

  2. 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.

    August 29, 2024 · Complaint · F761 · Corrected January 27, 2025

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 2, 2023 · Complaint · F755 · Corrected December 20, 2023

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 8, 2022 · Standard · F757 · Corrected October 8, 2022

  5. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 18, 2021 · Standard · F755 · Corrected April 18, 2021

  6. E

    Ensure medication error rates are not 5 percent or greater.

    March 18, 2021 · Standard · F759 · Corrected April 18, 2021

Infection Control3F
  1. F

    Provide and implement an infection prevention and control program.

    August 29, 2024 · Standard · F880 · Corrected January 27, 2025

  2. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    August 29, 2024 · Standard · F882 · Corrected September 29, 2024

  3. E

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    March 18, 2021 · Standard · F882 · Corrected April 18, 2021

Environmental3D
  1. D

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    August 29, 2024 · Standard · F909 · Corrected September 29, 2024

  2. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    August 29, 2024 · Standard · F919 · Corrected September 29, 2024

  3. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    August 29, 2024 · Standard · F925 · Corrected September 29, 2024

Nursing and Physician Services1D
  1. D

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    November 2, 2023 · Complaint · F727 · Corrected December 20, 2023

Administration1E
  1. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    September 8, 2022 · Standard · F867 · Corrected October 8, 2022

Nutrition and Dietary1D
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 18, 2021 · Standard · F812 · Corrected April 18, 2021

Inspection history

  1. 2024-08-29

    15 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

  2. 2022-09-08

    6 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  3. 2021-03-18

    24 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 56 min of nursing staff time a day, 44 min of it from a registered nurse.

This home

3 h 56 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

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

$312,600 in federal fines on record over the past three years.

DatePenaltyAmount
2024-08-29Fine$152,887
2023-11-02Fine$159,713

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days2.6 pts worse4.62.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days3.2 pts worse4.31.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine28.7 pts worse69.7%98.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine16.1 pts worse83.3%99.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse2.8%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms0.7 pts worse6.1%5.4%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts worse6.6%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication31 pts worse44.9%13.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.7 pts worse17.4%8.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.6 pts worse17.0%8.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased21.9 pts worse30.2%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts worse2.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection2.5 pts worse3.1%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse11.9%9.5%18.3%
Percentage of long-stay residents with pressure ulcers4.1 pts worse8.5%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine55.8 pts worse39.8%95.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts better5.5%8.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication4 pts worse5.4%1.4%1.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts worse31.1%25.8%23.4%

·

Who owns and runs it

7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Eagle Lake Nursing And Rehab Holding LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Bush, SherryOperational/Managerial Control · Individual0%1 facilities
Bush, SherryAdp Of The SNF · Individual0%1 facilities
Najman, EdenIndirect Ownership Interest · Individual0%3 facilities
Najman, EdenCorporate Officer · Individual0%3 facilities
Najman, PazIndirect Ownership Interest · Individual0%2 facilities
Saba, FadiAdp Of The SNF · Individual0%2 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems7D
  1. D

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    August 29, 2024 · K916 · Corrected September 29, 2024

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    August 29, 2024 · K918 · Corrected December 10, 2024

  3. D

    Ensure proper usage of power strips and extension cords.

    August 29, 2024 · K920 · Corrected September 29, 2024

  4. D

    Ensure that testing and maintenance of electrical equipment is performed.

    August 29, 2024 · K921 · Corrected September 29, 2024

  5. D

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    March 18, 2021 · K916 · Corrected April 18, 2021

  6. D

    Have generator or other power source capable of supplying service within 10 seconds.

    March 18, 2021 · K918 · Corrected April 18, 2021

  7. D

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    March 18, 2021 · K929 · Corrected July 10, 2021

Smoke4D
  1. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 29, 2024 · K374 · Corrected September 29, 2024

  2. D

    Provide properly protected cooking facilities.

    September 8, 2022 · K324 · Corrected October 8, 2022

  3. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 18, 2021 · K345 · Corrected April 18, 2021

  4. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 18, 2021 · K355 · Corrected April 18, 2021

Egress3D
  1. D

    Install emergency lighting that can last at least 1 1/2 hours.

    August 29, 2024 · K291 · Corrected September 29, 2024

  2. D

    Meet other general requirements.

    September 8, 2022 · K200 · Corrected October 8, 2022

  3. D

    Install emergency lighting that can last at least 1 1/2 hours.

    March 18, 2021 · K291 · Corrected April 18, 2021

Services2D
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    August 29, 2024 · K521 · Corrected September 29, 2024

  2. D

    Have properly installed electrical wiring and gas equipment.

    March 18, 2021 · K511 · Corrected April 18, 2021

Miscellaneous2D
  1. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 29, 2024 · K761 · Corrected September 29, 2024

  2. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    March 18, 2021 · K741 · Corrected April 18, 2021

Emergency Preparedness1D
  1. D

    Develop and maintain an Emergency Preparedness Program (EP).

    March 18, 2021 · E4 · Corrected April 18, 2021

·

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