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 Tampa Lakes Health And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to complete PASRR Level II evaluations for residents with mental illness or suspected mental illness. Four residents with diagnoses such as major depressive disorder, Alzheimer's disease, and anxiety disorders were not referred for further evaluation despite indications of mental illness. The facility's policy requires the Admissions Coordinator to ensure PASRR evaluations are completed, but this was not followed, resulting in the deficiency.
The facility failed to follow professional standards for food service safety, with personal items found on clean kitchenware racks, confusion over dish machine types, and improper recording of sanitizing temperatures. Unlabeled and undated food items were found in storage, and staff did not consistently change gloves or take food temperatures during meal service. Expired nutritional supplements and undated resident food items were also present, indicating a lack of adherence to facility policies on food safety and sanitation.
The facility failed to ensure proper infection control practices, including inadequate hand hygiene for a resident on C. diff precautions, improper storage of respiratory masks, and lack of hand hygiene during meal services. Staff used alcohol-based hand rub instead of soap and water for C. diff, masks were left uncovered, and residents were not offered hand hygiene before meals.
A resident with essential hypertension experienced lightheadedness due to the facility's failure to monitor blood pressure before administering Metoprolol Succinate ER. Despite the resident's reports of symptoms and varying blood pressure readings, staff did not consistently check blood pressure or have parameters in place for medication administration. Interviews revealed a lack of protocol adherence, contributing to the resident's ongoing symptoms.
The facility failed to protect resident information on three units, with lists of resident details posted publicly and computer screens left open and unattended. Staff confirmed these actions violated privacy policies.
A resident dependent on a wheelchair for ambulation was left bedridden for two days after staff borrowed his wheelchair without promptly returning it. Despite the resident's care plan indicating the need for a wheelchair, staff failed to ensure its timely return, impacting the resident's ability to participate in daily activities and family visits.
Failure to Complete PASRR Level II Evaluations
Penalty
Summary
The facility failed to ensure that the Preadmission Screening and Resident Review (PASRR) Level II evaluations were completed for residents with mental illness or suspected mental illness. This deficiency was identified for four residents out of sixty-seven sampled. The PASRR process is designed to ensure that individuals being considered for placement in a nursing facility are evaluated for serious mental illness or intellectual disability and are offered the most appropriate setting for their long-term care needs. Resident #49 was admitted with a primary diagnosis of senile degeneration of the brain and other diagnoses including major depressive disorder, visual hallucinations, and delusional disorders. The Level I PASRR screen indicated no diagnosis or suspicion of serious mental illness or intellectual disability, and a Level II evaluation was not required. However, the resident's diagnoses suggested the need for further evaluation. Similarly, Resident #111, with diagnoses of senile degeneration of the brain, major depressive disorder, and post-traumatic stress disorder, was also not referred for a Level II evaluation despite indications of mental illness. Resident #131 and Resident #40 both had diagnoses that included Alzheimer's disease and other mental health disorders such as major depressive disorder and anxiety disorders. Their Level I PASRR screens also indicated no need for a Level II evaluation, despite the presence of mental health conditions that warranted further assessment. The facility's policy requires that the Admissions Coordinator ensure the completion of Level I and Level II PASRR evaluations, but this was not adhered to, leading to the deficiency.
Deficiencies in Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by multiple observations and interviews. During a tour of the kitchen, a staff member's personal items, including a foam cup and lunchbox, were found on the drying rack meant for clean kitchenware. Additionally, there was confusion among staff regarding the type of dish machine being used, and sanitizing temperatures were not being properly recorded. The Assistant Food Service Director had to educate a dietary aide on how to test and record sanitizing solution temperatures. In the holding freezer, two cases of food were found unlabeled and undated, and the walk-in cooler contained a container of black olives with white spores, which was discarded. Other items, such as loose lettuce and fruit plates, were improperly stored or labeled. In the nourishment rooms, expired nutritional supplements and undated resident food items were found. Staff members were observed not changing gloves between tasks, handling food without gloves, and failing to take or record food temperatures during meal service. The facility's policies on food holding, storage, and employee sanitation were not followed. The Assistant Food Service Director confirmed that dietary staff were responsible for maintaining the nourishment rooms, but expired items were still present. The Director of Nursing stated that resident food brought by family should be discarded after three days, yet this was not consistently practiced. The facility's failure to comply with these standards resulted in multiple deficiencies in food safety and sanitation practices.
Infection Control Deficiencies in Hand Hygiene and Equipment Storage
Penalty
Summary
The facility failed to ensure proper infection control practices in several instances. Firstly, a staff member was observed exiting the room of a resident on contact precautions for Clostridium difficile (C. diff) without performing the appropriate hand hygiene. The resident had been on contact precautions since late December due to a positive test for C. diff antigen and toxins. Despite the presence of a contact precaution sign on the door, staff were not aware of the specific requirements for hand hygiene in this context, as they used alcohol-based hand rub instead of washing with soap and water, which is necessary for C. diff. Additionally, the facility did not ensure the proper storage of respiratory masks on one of its units. Observations revealed that masks were left uncovered on bedside tables and not stored in bags as required. Staff interviews confirmed that masks should be bagged to prevent contamination, but this practice was not consistently followed. The facility's respiratory therapist had provided bags for mask storage, yet masks were still found uncovered during multiple observations. Furthermore, the facility failed to offer or perform hand hygiene for residents and staff during meal services on two units. Observations showed that residents were not offered hand hygiene options before meals, and staff did not perform hand hygiene between serving meals or assisting residents with eating. Interviews with staff and residents confirmed that hand hygiene was not consistently offered or performed, despite the availability of hand hygiene resources in the dining areas. The facility's infection preventionist acknowledged the lack of hand hygiene practices and confirmed that offering hand hygiene before meals would be beneficial.
Failure to Monitor Blood Pressure Before Administering Medication
Penalty
Summary
The facility failed to monitor blood pressure before administering medication for increased blood pressure to a resident diagnosed with essential hypertension. The resident, who had an intact cognitive status, reported feeling lightheaded at least twice a week and had informed the nursing staff of this symptom multiple times. Despite this, the medication administration records showed that blood pressure was not consistently monitored before administering Metoprolol Succinate ER, a medication prescribed for high blood pressure. The resident's blood pressure readings varied significantly, ranging from 109/70 to 161/56, yet there were no parameters in place to guide the administration of the medication based on these readings. Interviews with staff revealed a lack of clarity and adherence to protocols regarding the monitoring of blood pressure before medication administration. A Registered Nurse acknowledged that there should have been an order to check blood pressure before administering the medication, and the Director of Nursing stated that staff should verify the existence of parameters and notify the physician if they are absent. The absence of such parameters and the failure to monitor blood pressure before medication administration contributed to the resident's ongoing symptoms of lightheadedness, as noted in the Medline Plus article on Metoprolol, which lists dizziness or lightheadedness as potential side effects.
Privacy Breach of Resident Information
Penalty
Summary
The facility failed to ensure the privacy of resident information across three of its six units, specifically the AB, BB, and EB units. During a facility tour, it was observed that lists containing resident names, room numbers, and types of therapy were posted facing the main hall in these units. Additionally, papers with resident names and medical information were left on the counter at the nurses' station, visible to anyone passing by. These documents remained posted and visible over several days, indicating a lack of adherence to privacy protocols. Further observations revealed that computer screens displaying resident medical records were left open and unattended on the BB unit. A computer screen on the wall and a medication cart computer were both left open with resident information visible, with no staff present to monitor them. Interviews with staff, including a Registered Nurse and a Licensed Practical Nurse, confirmed that these practices were against the facility's policy, which requires screens to be locked and papers to be turned over to protect resident information. The Director of Nursing also acknowledged that these documents should not have been visible to residents or visitors, and that staff are expected to secure computers and paperwork to maintain privacy.
Failure to Ensure Reasonable Accommodation of Wheelchair Use
Penalty
Summary
The facility failed to ensure reasonable accommodation of needs related to wheelchair use for one resident. Resident #3, who had a history of spine surgery and difficulty walking, reported that he was dependent on a wheelchair for ambulation. On two occasions, staff borrowed his wheelchair without promptly returning it, leaving him bedridden for two days. This lack of access to his wheelchair prevented him from getting out of bed and participating in activities, including family visits. The resident expressed feelings of being unfairly treated and singled out. The care plan for Resident #3 indicated that he used a wheelchair for locomotion and required assistance with activities of daily living (ADLs). Despite this, there was no documentation of him refusing to get out of bed. Interviews with staff revealed that the wheelchair was borrowed to assess another resident, but the assessment had not been completed, and the wheelchair had not been returned. Staff D, the Unit Manager/Registered Nurse, confirmed that she had borrowed the wheelchair with the resident's hesitant permission but had not returned it. The Director of Therapy also confirmed that the wheelchair was taken for a trial assessment but had not been returned promptly. The Director of Nursing (DON) acknowledged that the wheelchair was not returned in a timely manner and that it was unacceptable for the resident to be without his wheelchair for two days. The facility's policy on resident rights emphasized the importance of treating each resident with respect and dignity and ensuring their quality of life. The failure to return the wheelchair promptly resulted in the resident being unable to get out of bed and participate in daily activities, which negatively impacted his quality of life.
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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.
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Nursing homes near Lutz
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At Fletcher | 2.1 mi | ★★★★★ | 4 | 0 |
| The Bristol Care Center | 2.2 mi | ★★★★★ | 3 | 0 |
| Northdale Rehabilitation Center | 2.6 mi | ★★★★★ | 0 | 0 |
| Palm Garden Of Tampa | 2.8 mi | ★★★★★ | 1 | 0 |
| Blue Palms Health And Rehabilitation Center At Fle | 3.1 mi | ★★★★★ | 1 | 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.