13 health deficiencies
Top issue: Resident Rights (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Tampa, FL
1-star overall rating with 1-star inspections with $170,271 in total fines with 13 recent health deficiencies
1818 E Fletcher Ave, Tampa, FL
(813) 971-2383
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
266
Certified beds
Average residents
227
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-05-09
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
RN hours / resident day
0.59
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.74
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
4.05
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
11,694
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.68
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.00% · Performance 23.91% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.72
Baseline 7.78% · Performance 7.32% · Measure score 1.72 · Achievement 1.72 · Improvement 1.15
Total nurse turnover
1.15
Baseline 68.53% · Performance 61.33% · Measure score 1.15 · Achievement 0.57 · Improvement 1.15
Adjusted total nurse staffing
3.40
Baseline 3.69 hours · Performance 4.05 hours · Measure score 3.40 · Achievement 3.40 · Improvement 1.19
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.73% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 115 · Observed rate 12.17% · Lower 95% interval 7.36% |
| Discharge to community | 26.24% |
50.57%
24.3 pts worse
|
Worse than the National Rate · Eligible stays 69 · Observed rate 14.49% · Lower 95% interval 18.61% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 91.12% |
95.27%
4.1 pts worse
|
Numerator 236 · Denominator 259 |
| Falls with major injury | 1.55% |
0.77%
0.8 pts worse
|
Numerator 4 · Denominator 258 |
| Discharge self-care score | 33.11% |
53.69%
20.6 pts worse
|
Numerator 50 · Denominator 151 |
| Discharge mobility score | 27.15% |
50.94%
23.8 pts worse
|
Numerator 41 · Denominator 151 |
| Pressure ulcers or injuries, new or worsened | 3.47% |
2.29%
1.2 pts worse
|
Numerator 9 · Denominator 259 · Adjusted rate 2.79% |
| Healthcare-associated infections requiring hospitalization | 7.32% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 9.62% · Lower 95% interval 3.95% |
| Staff COVID-19 vaccination coverage | 0.81% |
8.2%
7.4 pts worse
|
Numerator 2 · Denominator 247 |
| Staff flu vaccination coverage | 7.5% |
42%
34.5 pts worse
|
Numerator 21 · Denominator 280 |
| Discharge function score | 43.71% |
56.45%
12.7 pts worse
|
Numerator 66 · Denominator 151 |
| Transfer of health information to provider | 97.98% |
95.95%
2 pts better
|
Numerator 97 · Denominator 99 |
| Transfer of health information to patient | 93.33% |
96.28%
3 pts worse
|
Numerator 42 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 12.99% |
25.2%
12.2 pts worse
|
Numerator 20 · Denominator 154 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
2.1
1.1 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.2
0.6 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.1% |
97.8%
4.7 pts worse
|
93.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.4% · Q2 91.1% · Q3 94.9% · Q4 96.2% · 4Q avg 93.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
2.6%
0.3 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.3% · Q3 3.1% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
3.7%
1.8 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.2% · Q3 2.6% · Q4 1.2% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
5.9%
1.8 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 10.6% · Q3 10.6% · Q4 7.1% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.7% |
15.7%
6 pts better
|
19.6%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 11.1% · Q3 9.4% · Q4 6.9% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.2% |
9.8%
2.6 pts better
|
16.7%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.2% · Q3 6.0% · Q4 6.5% · 4Q avg 7.2% · 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 | 5.8% |
11.7%
5.9 pts better
|
16.3%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 10.3% · Q3 3.5% · Q4 4.6% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.6% |
9.8%
6.2 pts better
|
14.9%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 4.0% · Q3 1.2% · Q4 2.4% · 4Q avg 3.6% · Used in QM five-star |
| 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% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
0.8%
0.3 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.3% |
12.5%
9.2 pts better
|
19.8%
16.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.7% · Q3 2.7% · Q4 3.0% · 4Q avg 3.3% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.1%
0.2 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.7% · Q3 5.8% · Q4 5.5% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.7% |
94.3%
15.6 pts worse
|
81.7%
3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.7% · Q2 84.4% · Q3 78.4% · Q4 79.1% · 4Q avg 78.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.2% |
9.3%
3.9 pts worse
|
12.0%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 14.8% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.5%
0.4 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.1% · Q3 1.0% · Q4 1.2% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.3% |
94.7%
2.4 pts worse
|
79.7%
12.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.3% |
26.2%
6.1 pts worse
|
23.9%
8.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 36.7% · Expected 27.1% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-27
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-01-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-01-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-12
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-01-12
Inspection history
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2026-02-05
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 2026-02-05
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 2025-07-25
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-07-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-25
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-25
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
Health
Keep all essential equipment working safely.
Corrected 2025-07-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-05
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-03-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-01
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 2025-03-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-01
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-03-01
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 2025-03-01
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-01
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-03-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-01
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 2025-03-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-12
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-01-12
Health
Have policies on smoking.
Corrected 2024-01-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-12
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-01-12
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-01-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-12
Health
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.
Corrected 2024-01-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-12
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 2024-01-12
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 2024-01-12
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-01-12
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-01-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-12
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-01-12
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 2024-01-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-12
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-01-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-14
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-06-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-05
Health
Post nurse staffing information every day.
Corrected 2023-06-05
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 2023-07-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-05
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-07-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-05
Penalties and ownership
Fine · fine $130,689
Fine
Fine · fine $5,735
Fine
Fine · fine $6,084
Fine
Fine · fine $6,084
Fine
Fine · fine $6,086
Fine
Fine · fine $15,593
Fine
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
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