Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-05-18At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 95.9% | Latest inspection | 2024-04-18 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 52.0 points
Total nurse staffing
Facility: Not reported by CMS
RN staffing
Facility: Not reported by CMS
Staff turnover
Facility: Not reported by CMS
Latest health deficiencies
Facility: 8 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 52.0 points | 56.5 points | 38.5 points |
| Total nurse staffing | Not reported by CMS | 3.61 hours/day | 3.63 hours/day |
| RN staffing | Not reported by CMS | 0.61 hours/day | 0.62 hours/day |
| Staff turnover | Not reported by CMS | 43.7% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-04-18
8 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2024-05-18Tag 0580 · Severity D
Immediately 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 2024-05-18Tag 0644 · Severity D
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 2024-05-18Tag 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 2024-05-18Tag 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 2024-05-18Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-05-18Tag 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 2024-05-182022-02-04
12 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2022-02-28Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-02-28Tag 0885 · Severity E
Report COVID19 data to residents and families.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-02-28Tag 0908 · Severity E
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-02-28Tag 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 2022-02-28Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-02-28Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-02-282020-10-30
5 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2020-11-18Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-11-18Staffing composition
Not reported by CMSNurse aide
Not reported by CMSLPN
Not reported by CMSRN
- Total staffing
- Not reported by CMS
- County median
- 3.61 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- Not reported by CMS
- 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
2.5 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days20250101-20251231
Emergency-department visits
0.2 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.7 per 1,000 days20250101-20251231
Falls with major injury
0.0%betterFlorida: 2.2% · County: 1.9%2025Q2-2026Q1
Pressure ulcers
3.2%betterFlorida: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
7.7%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
How 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
Facility Details
- County
- Hillsborough County
- Certified beds
- 120
- Average daily residents
- 115.1
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2012-02-01
- CCN
- 106093
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | Not reported by CMS |
| Lpn hours | Not reported by CMS |
| Rn hours | Not reported by CMS |
| Reported total hours | Not reported by CMS |
| Weekend total hours | Not reported by CMS |
| Weekend rn hours | Not reported by CMS |
| Adjusted total hours | Not reported by CMS |
| 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
$50,225.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-05-07 | Fine | $50,225.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
8Health citations
6Fire 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.
1
Provide safe and appropriate respiratory care for a resident when needed.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| LUTZ REHAB HOLDING PARTNERS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| GUTMAN, SAMUEL | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| WILDES, DONNA | CORPORATE OFFICER | NOT APPLICABLE |
| CYR, DANIELLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FLEURANTIN, MARIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HASHMI, HASEEB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PARKS, BAILEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILDES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| CYR, DANIELLE | ADP OF THE SNF | NOT APPLICABLE |
| HASHMI, HASEEB | ADP OF THE SNF | NOT APPLICABLE |
| WILDES, DONNA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology