Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-04-02 8 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2025-05-09
Tag 0919 · Severity E
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 2025-05-09
Tag 0557 · Severity D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-05-09
Tag 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 2025-05-09
Tag 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 2025-05-09
Tag 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 2025-05-09
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-09
2024-10-31 7 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
Tag 0689 · Severity E
Ensure 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 2024-12-01
Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-01
Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-01
Tag 0659 · Severity D
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-01
Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-01
Tag 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 2024-12-01
2024-05-16 17 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2024-06-16
Tag 0641 · Severity E
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-06-16
Tag 0700 · Severity E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-16
Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-06-16
Tag 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 2024-06-16
Tag 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 2024-06-16
Tag 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 2024-06-16
Tag 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 2024-06-16
Tag 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 2024-06-16
Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-06-16
Staffing composition
2.08 hours/dayNurse aide
0.31 hours/dayLPN
1.03 hours/dayRN
Total staffing
3.42 hours/day
County median
3.61 hours/day
Florida median
3.63 hours/day
Weekend total
3.15 hours/day
Staff turnover
33.8%
RN turnover
45.2%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.1 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days 20250101-20251231
Emergency-department visits
0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.7 per 1,000 days 20250101-20251231
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injury
How does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcers
What operational changes followed the facility's most recent penalty?
Suggested because of: penalties
How 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
174
Average daily residents
163.2
Ownership
Non profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1970-06-23
CCN
105234
Staffing Data
Reported measure
Value
Nurse aide hours
2.08332
Lpn hours
0.31161
Rn hours
1.02958
Reported total hours
3.42451
Weekend total hours
3.15198
Weekend rn hours
0.79807
Adjusted total hours
3.76317
Total turnover percent
33.8
Rn turnover percent
45.2
Administrators left
0
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$231,152.00Total fines
2Number of fines
0Payment denials
Date
Type
Amount
2024-08-20
Fine
$12,035.00
2023-12-14
Fine
$219,117.00
Totals reflect the supplied CMS records, not a lifetime total.
Citations
8Health citations
3Fire 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.
5
2024-08-20 · G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-12-14 · L
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.
2023-12-14 · L
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2023-12-14 · L
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2023-12-14 · H
Provide safe, appropriate pain management for a resident who requires such services.