01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-01-08 | 8 | 2025-01-08 | 1 |
| Cycle 2 | 2022-09-14 | 5 | 2022-09-14 | 0 |
| Cycle 3 | 2021-02-24 | 5 | 2021-02-24 | 5 |
CMS CCN 1055532026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Carrollwood Care Center
15002 Hutchinson Rd · Tampa, FL 33625 · Hillsborough County
Certified beds120CMS provider file
Recent citation rows24current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
24 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-01-08 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2025-02-082025-01-08 · FIREK0352Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-02-082022-09-14 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-10-142022-09-14 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2022-10-142022-09-14 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2022-12-172022-09-14 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2022-10-142022-09-14 · HEALTHF0867Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2022-12-172021-02-24 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · HEALTHF0908Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · FIREK0325Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2021-03-242021-02-24 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2021-03-2403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FI-CARROLLWOOD CARE, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/23/2002
- FLORIDA INSTITUTE FOR LONG TERM CARE LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 12/23/2002
- JAFFE, HOWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2014
- KATZ-HALL, KATHYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2014
- MULLARKEY, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2014
- RICHMOND, PENNYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2014
- AEGIR HEALTH MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2009
- CONSULTING SUPPORT SERVICES, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/28/2011
- FACILITY SUPPORT COMPANY, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/13/2010
- KANE FINANCIAL SERVICES, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/06/2012
- LUACES, KIMBERLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/04/2020
- STANTON, SUSANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/28/2016
- AEGIR HEALTH MANAGEMENT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/03/2025
- CONSULTING SUPPORT SERVICES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/03/2025
- FACILITY SUPPORT COMPANY, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/20/2025
- FLORIDA INSTITUTE FOR LONG TERM CARE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/03/2025
- KANE FINANCIAL SERVICES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/20/2025
- OMEGA HEALTH INVESTORS, INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2003
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.22per resident day
RN hours0.49per resident day
Weekend nurse hours3.03per resident day
Staff turnover21.0%CMS reported field
06 / LOCAL RECORDS
Open the Tampa ledger →Other published facilities nearby
Aviata At Fletcher120 beds · CMS overall 1/541 citation rowsAviata At The Bay150 beds · CMS overall 1/551 citation rowsBayshore Pointe Nursing And Rehab Center117 beds · CMS overall 3/539 citation rowsBlue Palms Health And Rehabilitation Center At Fle163 beds · CMS overall 3/538 citation rowsCanterbury Towers Inc60 beds · CMS overall 5/58 citation rowsElon Manor Nursing And Rehabilitation Center96 beds · CMS overall 2/539 citation rowsExcel Care Center120 beds · CMS overall 4/525 citation rowsFairway Oaks Center120 beds · CMS overall 2/535 citation rows