01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-08-29 | 15 | 2024-08-29 | 8 |
| Cycle 2 | 2022-09-08 | 11 | 2022-09-08 | 2 |
| Cycle 3 | 2021-03-18 | 23 | 2021-03-18 | 9 |
CMS CCN 1052922026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Eagle Lake Nursing And Rehab Care Center
1100 66Th St N · Saint Petersburg, FL 33710 · Pinellas County
Certified beds59CMS provider file
Recent citation rows68current CMS citation release
Penalty rows2current 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
68 rows in the current release
6 rows carry G–L scope/severity codes; 2 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-09-18 · HEALTHF0622Severity G · isolated actual harm
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Correction field: Deficient, Provider has date of correction · 2024-11-30 · complaint2024-09-18 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-11-30 · complaint2024-09-18 · HEALTHF0626Severity G · isolated actual harm
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Correction field: Deficient, Provider has date of correction · 2024-11-30 · complaint2024-08-29 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-01-27 · complaint2024-08-29 · HEALTHF0584Severity E · pattern; 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 · 2025-01-27 · complaint2024-08-29 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-11-302024-08-29 · HEALTHF0645Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · 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 · 2024-11-302024-08-29 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · 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 · 2025-01-272024-08-29 · 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 · 2025-01-272024-08-29 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · HEALTHF0761Severity D · isolated; 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 · 2025-01-27 · complaint2024-08-29 · HEALTHF0867Severity G · isolated actual 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 · 2025-01-27 · complaint2024-08-29 · HEALTHF0880Severity F · widespread; 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 · 2025-01-272024-08-29 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · HEALTHF0909Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · HEALTHF0919Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · HEALTHF0925Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · FIREK0374Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-08-29 · 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 · 2024-09-2903 / 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 |
|---|---|---|---|
| 2024-08-29 | Fine | $152,887 | 0 |
| 2023-11-02 | Fine | $159,713 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EAGLE LAKE NURSING AND REHAB HOLDING LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 02/01/2024
- NAJMAN, EDENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2024
- NAJMAN, PAZIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2024
- NAJMAN, EDENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2024
- BUSH, SHERRYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2024
- BUSH, SHERRYIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/01/2024
- SABA, FADIIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/01/2024
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 hours4.29per resident day
RN hours0.55per resident day
Weekend nurse hours4.04per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Saint Petersburg ledger →Other published facilities nearby
Abbey Rehabilitation And Nursing Center132 beds · CMS overall 1/539 citation rowsAddington Place At College Harbor52 beds · CMS overall 5/518 citation rowsAlhambra Healthcare & Rehabilitation Center60 beds · CMS overall 1/546 citation rowsAlpine Health And Rehabilitation Center57 beds · CMS overall 1/537 citation rowsApollo Healthcare & Rehabilitation Center99 beds · CMS overall 3/528 citation rowsAventura At The Bay274 beds · CMS overall —/588 citation rowsBalanced Healthcare299 beds · CMS overall 1/544 citation rowsBay Pointe Nursing Pavilion120 beds · CMS overall 4/514 citation rows