Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Northdale Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to complete the PASRR for 10 residents with mental disorders and intellectual disabilities, resulting in blank or incomplete forms. Interviews revealed a lack of a PASRR policy and inadequate processes for updating PASRRs, leading to systemic issues in handling PASRR requirements.
The facility failed to ensure proper medication storage and adherence to self-administration protocols, resulting in six residents having medications at their bedside without appropriate authorization or physician orders. Staff interviews confirmed that medications should be secured and that residents should have orders and care plans for self-administration, which were not in place for these residents.
The facility failed to ensure an effective pest control program, as evidenced by the presence of live and dead insects and ants in six resident rooms over three days of survey. A resident reported a persistent problem with ants and roaches, which was confirmed by multiple observations of live insects. The Environmental Services manager and the Director of Maintenance acknowledged a communication breakdown in reporting pest sightings, and the pest control log book lacked documentation of the observed insects.
The facility failed to maintain A/C filters in a safe and sanitary manner in seven resident rooms, with observations of dirt and debris during a three-day survey. The last cleaning was conducted months prior, and the facility did not have a specific policy on A/C maintenance readily available.
A resident with a history of falls experienced another fall, but the facility failed to update the care plan in a timely manner. The fall was documented four days later, and the care plan was updated three days post-fall, contrary to the facility's policy requiring immediate intervention. The DON confirmed the delay, and the Therapy Director noted the resident was already receiving occupational therapy.
The facility failed to ensure a resident's call light was within reach, despite the resident's history of falls and a care plan requiring it. Over three days, the call light was repeatedly found on the floor behind the bed. Staff interviews confirmed the expectation for call lights to be accessible, but the facility lacked a specific call light policy.
Failure to Complete PASRR for Residents with Mental Disorders and Intellectual Disabilities
Penalty
Summary
The facility failed to complete the Preadmission Screening and Resident Reviews (PASRR) for residents with mental disorders and intellectual disabilities following a qualifying mental health diagnosis for 10 out of 21 residents sampled. The review of admission records for these residents showed that their PASRR forms were either blank or incomplete, with qualifying diagnoses not checked. This included residents with diagnoses such as Bipolar disorder, Major depressive disorder, anxiety disorder, epilepsy, dementia, Alzheimer's disease, and other mental health conditions. The facility did not ensure that these residents had updated and accurate PASRR forms upon admission or when new diagnoses were identified. Interviews with the Regional Nurse Consultant (RNC) and the Director of Nursing (DON) revealed that the facility lacked a PASRR policy and that the process for updating PASRRs was not followed correctly. The RNC stated that PASRRs should be updated if there were new diagnoses or if they were not correctly documented upon admission. The DON acknowledged concerns related to the diagnoses not being checked and stated that the facility's process was to review residents' histories and ensure they had current PASRRs before admission. However, this process was not effectively implemented, leading to incomplete PASRRs for multiple residents. The deficiency was further highlighted by the fact that the facility did not have a PASRR policy in place, as confirmed by the RNC. This lack of policy and oversight contributed to the failure to complete the necessary screenings and reviews for residents with mental disorders and intellectual disabilities. The incomplete PASRRs were identified through record reviews, staff interviews, and the facility's admission records, indicating a systemic issue in the facility's handling of PASRR requirements.
Improper Medication Storage and Lack of Self-Administration Orders
Penalty
Summary
The facility did not ensure proper medication storage for six residents, leading to medications being found at the bedside without proper authorization or physician orders. During a facility tour, Resident #57 was observed with a bottle of Mucus relief medication at his bedside, which he was not prescribed and did not have self-administration orders for. Similarly, Resident #97 had eye drops on his nightstand without self-administration orders, and Resident #88 had Multi Vitamin tablets at his bedside without the necessary orders or care plan focus for self-administration. Resident #60 was also found with eye drops at her bedside, which she used daily without proper orders or authorization for self-administration. Staff interviews confirmed that medications should be secured and that residents should have orders and care plans for self-administration, which were not in place for these residents. Further observations revealed that Resident #10 had multiple medications at her bedside, including glaucoma medication, lubrication eye drops, nasal spray, and pain relief cream. The resident admitted to sometimes taking the medications herself, but there were no self-administration orders or proper physician orders for some of the medications. Additionally, Resident #8 was found with immune support gummies on her dresser, despite having severe cognitive impairment and no self-administration orders. Staff interviews reiterated that medications should be locked and that residents should be assessed for safety and have proper orders for self-administration. The Director of Nursing (DON) and the Regional Nurse Consultant (RNC) confirmed that medications should not be left at the bedside and should be locked for the safety of residents and their roommates. They emphasized that all medication administration should be supervised unless the resident had proper orders. The facility's failure to ensure proper medication storage and adherence to self-administration protocols led to multiple instances of medications being found at residents' bedsides without appropriate authorization or physician orders.
Ineffective Pest Control Program
Penalty
Summary
The facility failed to ensure their pest control program was effective, as evidenced by the presence of live and dead insects and ants in six resident rooms over three days of survey. Observations were made of live insects, including cockroaches and ants, in rooms #69, #70, #133, #135, #143, and #157. Resident #88, who was alert and oriented with a BIMS score of 15, reported a persistent problem with ants and roaches in his room, which he had mentioned to staff several times. Numerous dead ants were observed on the resident's window sill, and live ants were seen on the floor and walls by the dresser during the surveyor's visit. Additional live insects were observed in various locations within the resident's room on multiple occasions during the survey period. The Environmental Services (EVS) manager confirmed the presence of a live cockroach and described the process of killing the insect and documenting it in the maintenance log, but there was no evidence of effective pest control measures being implemented. The Director of Maintenance (DOM) and the Nursing Home Administrator (NHA) acknowledged the communication breakdown in reporting pest sightings, as the pest log book did not contain documentation of the observed insects, despite the facility's policy requiring such documentation and communication to the maintenance supervisor. The DOM expressed surprise at the extent of the ant problem in the resident's room and confirmed that the pest control log book had no entries of pest sightings from November 2023 to April 2024, despite the presence of roaches during the survey period.
Failure to Maintain A/C Filters in a Safe and Sanitary Manner
Penalty
Summary
The facility failed to ensure that Air Conditioning (A/C) filters were maintained in a safe and sanitary manner in seven of 26 resident rooms during a three-day survey. Observations made during multiple facility tours revealed A/C filters with dirt and debris in rooms 69, 70, 132, 133, 135, 136, and 157. An interview with the Director of Maintenance (DOM) and the Nursing Home Administrator (NHA) revealed that the facility did not have a specific policy on A/C maintenance readily available, and the last cleaning of the filters was conducted on 02/23/24. The DOM admitted that some filters were in very poor condition and stated that their policy was to clean and change filters quarterly. However, the facility's policy reviewed from August 2023 indicated that filters should be cleaned or replaced monthly, and all filters must be changed within a four-week period.
Failure to Timely Update Care Plan After Resident Fall
Penalty
Summary
The facility failed to ensure the Comprehensive Resident Centered Care Plan was updated in a timely manner for a resident at risk for falls. The resident, who had a history of repeated falls, dementia, and other mobility issues, experienced a fall on 05/10/2024. The fall was documented in a Post-Fall Review four days later, on 05/14/2024, but the care plan was not updated with new interventions until 05/13/2024, three days post-fall. The Director of Nursing (DON) confirmed that the intervention should have been put into place immediately at the time of the fall, but this did not occur. The resident was observed sitting on her buttocks next to her wheelchair after attempting to reach her TV remote, and she denied any pain from the fall. The care plan was eventually updated to include offering/assisting the resident to watch TV in the dining room before dinner and adding anti-tippers to her wheelchair. The facility's policy on Comprehensive Person-Centered Care Plans, revised in 08/2023, mandates that care plans be reviewed and revised by the interdisciplinary team after each assessment and as changes in the resident's care and treatment occur. However, the facility did not adhere to this policy, as evidenced by the delay in updating the care plan following the resident's fall. The DON acknowledged the lack of timely documentation and intervention, which should have been implemented immediately to prevent further incidents. The Therapy Director also noted that the resident was already on the occupational therapy caseload and had been educated on using a reacher for reaching items.
Failure to Ensure Call Light Accessibility
Penalty
Summary
The facility failed to reasonably accommodate the needs of Resident #45 by not ensuring the call light was within the resident's reach. On three separate occasions, the call light was observed on the floor behind the headboard of the resident's bed, and it had not been moved over the course of three days. Resident #45, who was admitted with a history of repeated falls and was cognitively intact, had a care plan that included keeping the call light within reach to mitigate fall risks. Despite this, the call light was consistently found out of reach, indicating a failure to adhere to the care plan's interventions. Interviews with various staff members, including an LPN, a CNA, and the RN/Unit Manager, confirmed that the expectation was for call lights to be accessible to residents at all times. The staff acknowledged that the call light should be readjusted if found out of reach. The DON also confirmed this expectation but noted that the facility did not have a specific call light policy. The consistent failure to ensure the call light was within reach of Resident #45 highlights a lapse in following established care protocols and staff expectations.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tampa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Andrew Post-acute Rehabilitation Center | 1.8 mi | ★★★★★ | 0 | 0 |
| Aviata At Fletcher | 2.2 mi | ★★★★★ | 4 | 0 |
| Tampa Lakes Health And Rehabilitation Center | 2.6 mi | ★★★★★ | 0 | 0 |
| The Bristol Care Center | 3.6 mi | ★★★★★ | 3 | 0 |
| Carrollwood Care Center | 3.8 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.