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

Staffing

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing

LPN hours / resident day

0.75

Licensed practical nurse staffing

Aide hours / resident day

2.27

Nurse aide staffing

Weekend hours

3.38

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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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Health
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Staffing
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Fines
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Overall
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Health
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Staffing
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Fines
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