Tag 0628 · Severity E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-31912 American Eagle Blvd, Sun City Center, FL 33573
(813) 633-3066 · Healthpeak Properties, INC.
| Ownership | For profit - Limited Liability company | Certified beds | 113 |
|---|---|---|---|
| Estimated occupancy | 83.5% | Latest inspection | 2025-07-31 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 50.0 points | 56.5 points | 38.5 points |
| Total nurse staffing | 4.98 hours/day | 3.61 hours/day | 3.63 hours/day |
| RN staffing | 0.89 hours/day | 0.61 hours/day | 0.62 hours/day |
| Staff turnover | 21.4% | 43.7% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-31Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-31Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-31Procure 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 2025-08-31Provide and implement an infection prevention and control program.
Infection Control 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 2025-08-31Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-31Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-31Provide 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 2025-08-31Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-08-31Immediate-jeopardy citations: 0
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-06-12Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-06-12Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-12Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-06-12Immediate-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 2021-08-23Develop 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 2021-08-23Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-08-23Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-08-23Ensure 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 2021-08-23Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How 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 | 3.00976 |
| Lpn hours | 1.08043 |
| Rn hours | 0.88711 |
| Reported total hours | 4.9773 |
| Weekend total hours | 4.46819 |
| Weekend rn hours | 0.49777 |
| Adjusted total hours | 5.19675 |
| Total turnover percent | 21.4 |
| Rn turnover percent | 5.6 |
| 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 |
|---|---|---|
| CCRC OPCO VENTURES LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BLACKROCK INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| CCRC PROPCO VENTURES, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP MA3 GP HOLDING, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP MA3, LP | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP PARTNERS LP | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP S-H 2014 MEMBER LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP VENTURES II PARTNER LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP VENTURES II TRS LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP/LS 2011 REIT, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HEALTHPEAK OP LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HEALTHPEAK PROPERTIES INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS LIVING OP LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS LIVING TRS LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS LIVING, INC. | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS MEMBER, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| OCEAN ACQUISITION I LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| STATE STREET CORPORATION | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| VANGUARD GROUP INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| CCRC PROPCO - FREEDOM PLAZA, LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| CHENG, PATRICK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| RUSSO, FRANK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GRELLA, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RIAZUDEEN, SHAHUL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROHER, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HCP MA3, LP | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE |
| HCP PARTNERS LP | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE |
| BLACKROCK INC | ADP OF THE SNF | NOT APPLICABLE |
| CCRC PROPCO - FREEDOM PLAZA, LLC | ADP OF THE SNF | NOT APPLICABLE |
| CCRC PROPCO VENTURES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP MA3, LP | ADP OF THE SNF | NOT APPLICABLE |
| HCP PARTNERS LP | ADP OF THE SNF | NOT APPLICABLE |
| HCP S-H 2014 MEMBER LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP VENTURES II PARTNER LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP/LS 2011 REIT, LLC | ADP OF THE SNF | NOT APPLICABLE |
| HEALTHPEAK OP LLC | ADP OF THE SNF | NOT APPLICABLE |
| HEALTHPEAK PROPERTIES INC | ADP OF THE SNF | NOT APPLICABLE |
| JANUS LIVING OP LLC | ADP OF THE SNF | NOT APPLICABLE |
| JANUS LIVING, INC. | ADP OF THE SNF | NOT APPLICABLE |
| JANUS MEMBER, LLC | ADP OF THE SNF | NOT APPLICABLE |
| OCEAN ACQUISITION I LLC | ADP OF THE SNF | NOT APPLICABLE |
| RICHTER AND ASSOCIATES | ADP OF THE SNF | NOT APPLICABLE |
| STATE STREET CORPORATION | ADP OF THE SNF | NOT APPLICABLE |
| VANGUARD GROUP INC | ADP OF THE SNF | NOT APPLICABLE |
| GRELLA, CHRISTOPHER | ADP OF THE SNF | NOT APPLICABLE |
| RIAZUDEEN, SHAHUL | ADP OF THE SNF | NOT APPLICABLE |
| VOELKER, JENNIFER | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology