Overall Rating
Address
3117 W Gandy Blvd
Tampa, FL 33611
Contact
8132615500
Certification Date
1989-07-01
CMS Certification Number
105650
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Average Number of Residents per Day
90.1
Provider Type
Medicare and Medicaid
Legal Business Name
SOVEREIGN HEALTHCARE OF TAMPA, LLC
Affiliated Entity Name
SOVEREIGN HEALTHCARE HOLDINGS
Affiliated Entity ID
482
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.08032
Reported LPN Staffing Hours per Resident per Day
1.03423
Reported RN Staffing Hours per Resident per Day
0.53523
Reported Total Nurse Staffing Hours per Resident per Day
3.64978
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.30068
Registered Nurse Hours per Resident per Day on the Weekend
0.34488
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20820
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
64.000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
8
Number of Citations from Infection Control Inspections
2
Standard Health Survey Date
2022-06-23
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
5
Health Deficiency Score
88
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
88
Standard Health Survey Date
2021-02-26
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
1
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2019-08-02
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
2
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
33199.30
Number of Payment Denials
0
Total Number of Penalties
2