Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-03-27| Ownership | For profit - Individual | Certified beds | 96 |
|---|---|---|---|
| Estimated occupancy | 78.9% | Latest inspection | 2026-02-25 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 67.0 points | 56.5 points | 38.5 points |
| Total nurse staffing | 3.48 hours/day | 3.61 hours/day | 3.63 hours/day |
| RN staffing | 0.91 hours/day | 0.61 hours/day | 0.62 hours/day |
| Staff turnover | 30.3% | 43.7% | 41.8% |
| Latest health deficiencies | 9 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-03-27Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Deficient, Provider has date of correction 2026-03-27Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-27Honor 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 2026-03-27PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-03-27Provide 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 2026-03-27Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-03-27Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-03-27Immediate-jeopardy citations: 0
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.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-01-18Honor 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 2024-01-18Procure 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 2024-01-18Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-01-18Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-01-18Develop 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 2024-01-18Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-01-18Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-01-18Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-01-18Ensure 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 2024-01-18Immediate-jeopardy citations: 0
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-10-15PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-10-15Ensure 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 2021-10-15Procure 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 2021-10-15Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What changes were made after inspectors reported actual harm during the 2026-04-02 inspection?
Suggested because of: latest actual harmHow 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 useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.08809 |
| Lpn hours | 0.48384 |
| Rn hours | 0.90696 |
| Reported total hours | 3.4789 |
| Weekend total hours | 3.11304 |
| Weekend rn hours | 0.82649 |
| Adjusted total hours | 3.90001 |
| Total turnover percent | 30.3 |
| Rn turnover percent | 22.2 |
| Administrators left | 3 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2026-02-25 | Fine | $20,910.00 |
| 2023-12-21 | Fine | $3,728.00 |
| 2023-12-11 | Fine | $6,351.00 |
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.
1
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
| Name | Role | Share |
|---|---|---|
| THA TAMPA PROPCO LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MCGAULEY, ROSE | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| PETTY, LAURENCE | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| FREIFELD, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCGAULEY, ROSE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FREIFELD, STEVEN | ADP OF THE SNF | NOT APPLICABLE |
| MCGAULEY, ROSE | ADP OF THE SNF | NOT APPLICABLE |
| PETTY, LAURENCE | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology