Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-10-31For-profit
Bayshore Pointe Nursing and Rehab Center
3117 W Gandy Blvd, Tampa, FL 33611
(813) 261-5500 · Sovereign Healthcare Holdings
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 117 |
|---|---|---|---|
| Estimated occupancy | 92.3% | Latest inspection | 2024-09-21 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
Health-inspection score
Facility: 75.0 points
Total nurse staffing
Facility: 3.73 hours/day
RN staffing
Facility: 1.01 hours/day
Staff turnover
Facility: 36.1%
Latest health deficiencies
Facility: 13 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 75.0 points | 56.5 points | 38.5 points |
| Total nurse staffing | 3.73 hours/day | 3.61 hours/day | 3.63 hours/day |
| RN staffing | 1.01 hours/day | 0.61 hours/day | 0.62 hours/day |
| Staff turnover | 36.1% | 43.7% | 41.8% |
| Latest health deficiencies | 13 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-09-21
13 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0686 · Severity E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0693 · Severity E
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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0726 · Severity E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0584 · Severity 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0688 · Severity D
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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0761 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0773 · Severity D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Deficient, Provider has date of correction 2024-10-31Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-312022-06-23
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0803 · Severity E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0804 · Severity E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0806 · Severity E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0550 · Severity D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0578 · Severity 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-07-23Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-07-232021-02-26
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0758 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-03-26Tag 0578 · Severity 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-03-26Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-03-26Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-03-26Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-03-26Tag 0761 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-03-26Tag 0881 · Severity D
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-03-26Staffing composition
2.19 hours/dayNurse aide
0.54 hours/dayLPN
1.01 hours/dayRN
- Total staffing
- 3.73 hours/day
- County median
- 3.61 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.34 hours/day
- Staff turnover
- 36.1%
- RN turnover
- 36.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.1 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days20250101-20251231
Emergency-department visits
1.0 per 1,000 dayssimilarFlorida: 1.0 per 1,000 days · County: 0.7 per 1,000 days20250101-20251231
Falls with major injury
3.0%worseFlorida: 2.2% · County: 1.9%2025Q2-2026Q1
Pressure ulcers
0.5%betterFlorida: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
0.9%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
7.9%worseFlorida: 7.0% · County: 7.7%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Hillsborough County
- Certified beds
- 117
- Average daily residents
- 108
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1989-07-01
- CCN
- 105650
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.18808 |
| Lpn hours | 0.53596 |
| Rn hours | 1.00692 |
| Reported total hours | 3.73096 |
| Weekend total hours | 3.34449 |
| Weekend rn hours | 0.73537 |
| Adjusted total hours | 3.81694 |
| Total turnover percent | 36.1 |
| Rn turnover percent | 36 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
13Health citations
8Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| SOVEREIGN HEALTHCARE HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| CRONQUIST 2015 FAMILY TR | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JOHN J NOTERMANN BUSINESS TR | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MANGINE, JOHN | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| TAMPA HEALTH PROPERTIES, LTD. | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| CHERY, DAWN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| KAAR, SUSAN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| LANDY, FREDERICK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CRONQUIST, ROYCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FITZPATRICK, CYNTHIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MANGINE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MELTON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RABAGO-REYES, CASSANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| FORVIS MAZARS LLP | ADP OF THE SNF | NOT APPLICABLE |
| GLOWORTH, LLC | ADP OF THE SNF | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | ADP OF THE SNF | NOT APPLICABLE |
| TAMPA HEALTH PROPERTIES, LTD. | ADP OF THE SNF | NOT APPLICABLE |
| CHERY, DAWN | ADP OF THE SNF | NOT APPLICABLE |
| CRONQUIST, ROYCE | ADP OF THE SNF | NOT APPLICABLE |
| FITZPATRICK, CYNTHIA | ADP OF THE SNF | NOT APPLICABLE |
| KAAR, SUSAN | ADP OF THE SNF | NOT APPLICABLE |
| KELLY, MICHELLE | ADP OF THE SNF | NOT APPLICABLE |
| LANDY, FREDERICK | ADP OF THE SNF | NOT APPLICABLE |
| MANGINE, JOHN | ADP OF THE SNF | NOT APPLICABLE |
| MELTON, DONALD | ADP OF THE SNF | NOT APPLICABLE |
| NOTERMANN, WILLIAM | ADP OF THE SNF | NOT APPLICABLE |
| RABAGO-REYES, CASSANDRA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology