5085 Eagleston Blvd, Wesley Chapel, FL 33544
(765) 664-5400 · Tlc Management
| Ownership | For profit - Limited Liability company | Certified beds | 141 |
|---|---|---|---|
| Estimated occupancy | 94.5% | Latest inspection | 2025-07-31 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 41.0 points | 54.5 points | 38.5 points |
| Total nurse staffing | 4.02 hours/day | 3.58 hours/day | 3.63 hours/day |
| RN staffing | 0.84 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 43.2% | 44.3% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-08-31Develop 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 2025-08-31Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-31Immediate-jeopardy citations: 0
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 2023-05-26Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-05-26Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-05-26Implement 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 2023-05-26Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2023-05-26Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies · Deficient, Provider has date of correction 2023-05-26Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-05-26Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-05-26Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-05-26Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-05-26Provide 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 2023-05-26Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-05-26Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-05-26Immediate-jeopardy citations: 0
No matching citation detail was published.
Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.28433 |
| Lpn hours | 0.88946 |
| Rn hours | 0.84462 |
| Reported total hours | 4.01841 |
| Weekend total hours | 3.56432 |
| Weekend rn hours | 0.63732 |
| Adjusted total hours | 3.69879 |
| Total turnover percent | 43.2 |
| Rn turnover percent | 42.9 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| SMITH, KIMBERLY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| SMITH, KIMBERLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| OTT, DWIGHT | CORPORATE OFFICER | NOT APPLICABLE |
| OTT, GARY | CORPORATE OFFICER | NOT APPLICABLE |
| OTT, RYAN | CORPORATE OFFICER | NOT APPLICABLE |
| TENDER LOVING CARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology