01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-05-22 | 6 | 2024-05-22 | 0 |
| Cycle 2 | 2022-03-10 | 8 | 2022-03-10 | 2 |
| Cycle 3 | 2020-12-30 | 1 | 2020-12-30 | 0 |
CMS CCN 1057002026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Northdale Rehabilitation Center
3030 Bearss Ave · Tampa, FL 33618 · Hillsborough County
Certified beds120CMS provider file
Recent citation rows17current 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
17 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-05-22 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-06-22 · complaint2024-05-22 · 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 · 2024-06-222024-05-22 · 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 · 2024-06-222024-05-22 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-06-222024-05-22 · 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 · 2024-06-222024-05-22 · HEALTHF0925Severity E · pattern; 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 · 2024-06-222022-03-10 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
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
Correction field: Deficient, Provider has date of correction · 2022-04-102022-03-10 · 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 · 2022-04-102022-03-10 · 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 · 2022-04-102022-03-10 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2022-04-102022-03-10 · 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 · 2022-04-102022-03-10 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2022-04-102022-03-10 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2022-04-102022-03-10 · HEALTHF0812Severity F · widespread; 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 · 2022-04-102022-03-10 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2022-04-102022-03-10 · FIREK0929Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Correction field: Deficient, Provider has date of correction · 2022-04-102020-12-30 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2021-01-2203 / 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
- SOVEREIGN HEALTHCARE HOLDINGS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/18/2018
- CRONQUIST 2015 FAMILY TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/18/2018
- JOHN J NOTERMANN BUSINESS TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/12/2017
- MANGINE, JOHNIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2015
- 3030 CARROLLWOOD, LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 09/18/2018
- HEALTH SERVICES PROPERTIES LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 09/18/2018
- ORIX REAL ESTATE CAPITAL LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 09/18/2018
- CHERY, DAWNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/08/2017
- KAAR, SUSANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2003
- LANDY, FREDERICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/13/2022
- SOUTHERN HEALTHCARE MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2018
- CRONQUIST, ROYCEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2018
- MANGINE, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/25/2012
- MCCOY, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/16/2024
- MELTON, DONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2018
- NOTERMANN, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- RIBIC, KLEMENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/15/2010
- NOTERMANN, BRENDAIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 01/14/2026
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 hours3.61per resident day
RN hours0.48per resident day
Weekend nurse hours3.21per resident day
Staff turnover41.8%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 rowsCarrollwood Care Center120 beds · CMS overall 3/524 citation rowsElon Manor Nursing And Rehabilitation Center96 beds · CMS overall 2/539 citation rowsExcel Care Center120 beds · CMS overall 4/525 citation rows