Tampa, FL

Elon Manor Nursing And Rehabilitation Center

2-star overall rating with 2-star inspections with $10,079 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1203 E 22nd Ave, Tampa, FL

(813) 229-6901

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

96

Certified beds

Average residents

71

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-04-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.27

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.78

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.82

CMS adjusted RN staffing hours

Adjusted total hours

4.07

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 42% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 14 · 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 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 99
Staff flu vaccination coverage 5.1%
42%
36.9 pts worse
Numerator 5 · Denominator 98
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
2.1
0.5 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.3 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.2
About the same
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
97.8%
1.5 pts better
93.4%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 98.4% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.2%
99.2%
15 pts worse
95.5%
11.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.2%
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
2.6%
0.4 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 3.2% · Q4 2.9% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
3.7%
3.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 4.8%
5.9%
1.1 pts better
5.4%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.4% · Q3 5.1% · Q4 5.8% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.3%
15.7%
6.6 pts worse
19.6%
2.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 24.6% · Q3 18.0% · Q4 22.0% · 4Q avg 22.3%
Percentage of long-stay residents who received an antipsychotic medication 6.5%
9.8%
3.3 pts better
16.7%
10.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.8% · Q3 2.1% · Q4 11.1% · 4Q avg 6.5% · 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% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 7.9%
11.7%
3.8 pts better
16.3%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.6%
9.8%
0.2 pts better
14.9%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.1% · Q3 9.4% · Q4 8.5% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9%
0.4%
1.5 pts worse
1.0%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.0% · Q3 1.3% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.0%
0.8%
1.2 pts worse
1.7%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.0%
12.5%
8.5 pts better
19.8%
15.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.9% · Q4 12.0% · 4Q avg 4.0%
Percentage of long-stay residents with pressure ulcers 9.5%
5.1%
4.4 pts worse
5.1%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 7.7% · Q3 6.8% · Q4 14.4% · 4Q avg 9.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
94.3%
2.9 pts better
81.7%
15.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 97.0% · Q3 100.0% · Q4 98.0% · 4Q avg 97.2%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78.8%
94.7%
15.9 pts worse
79.7%
0.9 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-12-21 · Fire 2023-12-21

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-09-16 · Fire 2021-09-16

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2020-01-16 · Fire 2020-01-16

4 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-12-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-01-21

D · Potential for more than minimal harm 2023-12-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-13

D · Potential for more than minimal harm 2023-12-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-21

D · Potential for more than minimal harm 2021-09-16

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2021-10-16

D · Potential for more than minimal harm 2021-09-16

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2021-10-16

D · Potential for more than minimal harm 2021-09-16

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2021-10-16

D · Potential for more than minimal harm 2021-09-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-10-16

D · Potential for more than minimal harm 2021-09-16

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2021-10-16

D · Potential for more than minimal harm 2021-09-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-10-16

D · Potential for more than minimal harm 2021-09-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-10-16

D · Potential for more than minimal harm 2021-09-16

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-10-16

D · Potential for more than minimal harm 2020-01-16

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2020-02-14

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-19

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-03-19

E · Potential for more than minimal harm 2025-02-19

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-03-19

E · Potential for more than minimal harm 2025-02-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-19

F585 · Resident Rights Deficiencies

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 2025-03-19

F · Potential for more than minimal harm 2023-12-21

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-01-18

E · Potential for more than minimal harm 2023-12-21

F584 · Resident Rights Deficiencies

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 2024-01-18

E · Potential for more than minimal harm 2023-12-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-01-18

D · Potential for more than minimal harm 2023-12-21

F554 · Resident Rights Deficiencies

Health

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

Corrected 2024-01-18

D · Potential for more than minimal harm 2023-12-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-01-18

D · Potential for more than minimal harm 2023-12-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-18

D · Potential for more than minimal harm 2023-12-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-18

D · Potential for more than minimal harm 2023-12-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-01-18

D · Potential for more than minimal harm 2023-12-21

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-01-18

D · Potential for more than minimal harm 2023-12-21

F761 · Pharmacy Service Deficiencies

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 2024-01-18

E · Potential for more than minimal harm 2021-09-16

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2021-10-15

D · Potential for more than minimal harm 2021-09-16

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2021-10-15

D · Potential for more than minimal harm 2021-09-16

F761 · Pharmacy Service Deficiencies

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 2021-10-15

D · Potential for more than minimal harm 2021-09-16

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-10-15

E · Potential for more than minimal harm 2020-01-16

F761 · Pharmacy Service Deficiencies

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 2020-02-14

E · Potential for more than minimal harm 2020-01-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-02-14

D · Potential for more than minimal harm 2020-01-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-02-14

D · Potential for more than minimal harm 2020-01-16

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2020-02-14

Penalties and ownership

What sits behind the stars

$3,728 2023-12-21

Fine

Fine · fine $3,728

Fine

$6,351 2023-12-11

Fine

Fine · fine $6,351

Fine

Ownership

Freifeld, Steven

Operational/Managerial Control · Individual

0% 2 facilities 2023-10-01
Mcgauley, Rose

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-01

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Staffing
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