NORTHDALE REHABILITATION CENTER

3030 BEARSS AVE
TAMPA, FL, 33618
8139688777
CCN: 105700
3
Overall
3
Health
3
Staffing
4
Quality
ChainSOVEREIGN HEALTHCARE HOLDINGS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (4)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
1ST REHABILITATION OF PORT ST
1128b8
Excluded 2002-09-19
MT ZION MEDICAL REHABILITATION
1128Aa
Excluded 1998-01-31
NEUROMUSCULAR REHABILITATION
1128b8
Excluded 1998-01-20
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
NameRole%
3030 CARROLLWOOD, LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
HEALTH SERVICES PROPERTIES LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
ORIX REAL ESTATE CAPITAL LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
MCCOY, BRIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MELTON, DONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SOUTHERN HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RIBIC, KLEMENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NOTERMANN, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CRONQUIST, ROYCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MANGINE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (15)
2024-05-22 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2022-03-10 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2020-12-30 · Health
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.86
3.68
RN Hrs/Resident/Day
0.66
0.54
LPN Hrs/Resident/Day
0.96
0.81
CNA Hrs/Resident/Day
2.25
2.33
PT Hrs/Resident/Day
0.12
0.12
Data as of 2026-03-01