Tag 0760 · Severity G
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-09-29For-profit
Eagle Lake Nursing and Rehab Care Center
1100 66Th St N, Saint Petersburg, FL 33710
(727) 345-9331 · Blue Ridge Healthcare
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 59 |
|---|---|---|---|
| Estimated occupancy | 61.0% | Latest inspection | 2024-08-29 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 243.5 points
Total nurse staffing
Facility: 4.29 hours/day
RN staffing
Facility: 0.55 hours/day
Staff turnover
Facility: Not reported by CMS
Latest health deficiencies
Facility: 15 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 243.5 points | 74.0 points | 38.5 points |
| Total nurse staffing | 4.29 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.55 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | Not reported by CMS | 50.7% | 41.8% |
| Latest health deficiencies | 15 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-08-29
15 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0867 · Severity G
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2025-01-27Tag 0880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-01-27Tag 0882 · Severity F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-09-29Tag 0584 · Severity E
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 2025-01-27Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-09-29Tag 0640 · Severity D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-09-29Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-11-30Tag 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 2024-11-30Tag 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 2024-09-29Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-01-27Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-01-27Tag 0909 · Severity D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-09-29Tag 0919 · Severity D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-09-29Tag 0925 · Severity D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-09-29Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-01-27Tag 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 2025-01-272022-09-08
11 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0867 · Severity E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2022-10-08Tag 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 2022-10-08Tag 0655 · Severity D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-10-08Tag 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 2022-10-08Tag 0657 · Severity D
Develop 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 2022-10-08Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-10-082021-03-18
23 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0755 · Severity E
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 2021-04-18Tag 0759 · Severity E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-04-18Tag 0882 · Severity E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-04-18Tag 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 2021-04-18Tag 0585 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-04-18Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-04-18Tag 0655 · Severity D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-04-18Tag 0657 · Severity D
Develop 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 2021-07-10Tag 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 2021-04-18Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-04-18Tag 0812 · Severity D
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 2021-04-18Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-04-18Staffing composition
2.56 hours/dayNurse aide
1.18 hours/dayLPN
0.55 hours/dayRN
- Total staffing
- 4.29 hours/day
- County median
- 3.51 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 4.04 hours/day
- Staff turnover
- Not reported by CMS
- RN turnover
- Not reported by CMS
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
5.3 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
4.8 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
4.2%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
11.7%worseFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
4.0%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
16.9%worseFlorida: 7.0% · County: 7.0%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 changes were made after inspectors reported actual harm during the 2024-09-18 inspection?
Suggested because of: latest actual harmHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat 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 are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use
Facility Details
- County
- Pinellas County
- Certified beds
- 59
- Average daily residents
- 36
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1976-01-07
- CCN
- 105292
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.56164 |
| Lpn hours | 1.18318 |
| Rn hours | 0.54802 |
| Reported total hours | 4.29284 |
| Weekend total hours | 4.04397 |
| Weekend rn hours | 0.39546 |
| Adjusted total hours | 4.52207 |
| Total turnover percent | Not reported by CMS |
| Rn turnover percent | Not reported by CMS |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$312,600.00Total fines
2Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-08-29 | Fine | $152,887.00 |
| 2023-11-02 | Fine | $159,713.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
15Health citations
19Fire 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.
6
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Ensure that residents are free from significant medication errors.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Plan the resident's discharge to meet the resident's goals and needs.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| EAGLE LAKE NURSING AND REHAB HOLDING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| NAJMAN, EDEN | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| NAJMAN, PAZ | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| NAJMAN, EDEN | CORPORATE OFFICER | NOT APPLICABLE |
| BUSH, SHERRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BUSH, SHERRY | ADP OF THE SNF | NOT APPLICABLE |
| SABA, FADI | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology