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NORTHDALE REHABILITATION CENTER

Overall Rating

Address

3030 Bearss Ave

Tampa, FL 33618

Contact

8139688777

Certification Date

1990-07-20

Details

CMS Certification Number

105700

Ownership Type

For profit - Individual

Number of Certified Beds

120

Average Number of Residents per Day

103.1

Provider Type

Medicare and Medicaid

Legal Business Name

CARROLLWOOD REHABILITATION CENTER LLC

Affiliated Entity Name

SOVEREIGN HEALTHCARE HOLDINGS

Affiliated Entity ID

482

Ratings

Health Inspection Rating

3

Quality Measure Rating

3

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.04525

Reported LPN Staffing Hours per Resident per Day

0.86384

Reported RN Staffing Hours per Resident per Day

0.64546

Reported Total Nurse Staffing Hours per Resident per Day

3.55455

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.24747

Registered Nurse Hours per Resident per Day on the Weekend

0.48879

Reported Physical Therapist Staffing Hours per Resident Per Day

0.10203

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

26.000

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-03-10

Total Number of Health Deficiencies

8

Number of Standard Health Deficiencies

8

Number of Complaint Health Deficiencies

0

Health Deficiency Score

44

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

44

Rating Cycle 2

Standard Health Survey Date

2020-12-30

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

1

Number of Complaint Health Deficiencies

0

Health Deficiency Score

4

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

4

Rating Cycle 3

Standard Health Survey Date

2019-02-28

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0