Overall Rating
Address
15002 Hutchinson Rd
Tampa, FL 33625
Contact
8139601969
Certification Date
1987-01-09
CMS Certification Number
105553
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
120
Average Number of Residents per Day
114.4
Provider Type
Medicare and Medicaid
Legal Business Name
FI-CARROLLWOOD CARE, LLC
Affiliated Entity Name
FLORIDA INSTITUTE FOR LONG-TERM CARE
Affiliated Entity ID
223
Health Inspection Rating
1
Quality Measure Rating
1
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.99518
Reported LPN Staffing Hours per Resident per Day
0.63259
Reported RN Staffing Hours per Resident per Day
0.54124
Reported Total Nurse Staffing Hours per Resident per Day
3.16901
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.98780
Registered Nurse Hours per Resident per Day on the Weekend
0.37246
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10594
Long-Stay Quality Measure Rating
1
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
123.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-09-14
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
0
Health Deficiency Score
24
Number of Health Revisits
2
Health Revisit Score
12
Total Health Score
36
Standard Health Survey Date
2021-02-24
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
4
Health Deficiency Score
307
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
307
Standard Health Survey Date
2019-04-18
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
1
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Number of Fines
2
Total Amount of Fines in Dollars
71820.30
Number of Payment Denials
1
Total Number of Penalties
3