Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-02-07At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 179 |
|---|---|---|---|
| Estimated occupancy | 94.7% | Latest inspection | 2025-01-09 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 32.0 points
Total nurse staffing
Facility: 3.81 hours/day
RN staffing
Facility: 0.61 hours/day
Staff turnover
Facility: 43.7%
Latest health deficiencies
Facility: 5 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 32.0 points | 56.5 points | 38.5 points |
| Total nurse staffing | 3.81 hours/day | 3.61 hours/day | 3.63 hours/day |
| RN staffing | 0.61 hours/day | 0.61 hours/day | 0.62 hours/day |
| Staff turnover | 43.7% | 43.7% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-01-09
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 2025-02-07Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-02-07Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-02-07Tag 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 2025-02-072022-10-27
3 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
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 2022-11-25Tag 0849 · Severity D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Deficient, Provider has date of correction 2022-11-25Tag 0885 · Severity D
Report COVID19 data to residents and families.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-11-252021-05-07
7 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
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 2021-06-07Tag 0688 · Severity E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-06-07Tag 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 2021-06-07Tag 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 2021-06-07Tag 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 2021-06-07Staffing composition
2.30 hours/dayNurse aide
0.90 hours/dayLPN
0.61 hours/dayRN
- Total staffing
- 3.81 hours/day
- County median
- 3.61 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.64 hours/day
- Staff turnover
- 43.7%
- RN turnover
- 47.1%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.3 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days20250101-20251231
Emergency-department visits
0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.7 per 1,000 days20250101-20251231
Falls with major injury
2.2%similarFlorida: 2.2% · County: 1.9%2025Q2-2026Q1
Pressure ulcers
2.5%betterFlorida: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
1.0%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
7.8%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 useHow 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
- 179
- Average daily residents
- 169.5
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2017-04-10
- CCN
- 106112
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.30203 |
| Lpn hours | 0.90098 |
| Rn hours | 0.607 |
| Reported total hours | 3.81001 |
| Weekend total hours | 3.63654 |
| Weekend rn hours | 0.37845 |
| Adjusted total hours | 3.48721 |
| Total turnover percent | 43.7 |
| Rn turnover percent | 47.1 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
5Health citations
5Fire 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.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| TAMPA LAKES SNF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 45% |
| DAVIS, ALAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% |
| MITCHELL, JOSEPH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% |
| CH SUMMIT CARE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SEAM NY 2020 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SK SUMMIT CARE II HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SUMMIT CARE GROUP II OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| DAVIS, ALAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCMANUS, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SUMMIT CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FREIBERT, TARA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SUMMIT CARE MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| FREIBERT, TARA | ADP OF THE SNF | NOT APPLICABLE |
| LEWIS, NIGEL | ADP OF THE SNF | NOT APPLICABLE |
| MCMANUS, JOHN | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology