EAGLE LAKE NURSING AND REHAB CARE CENTER

CCN 105292 · EAGLE LAKE NURSING & REHAB OPCO LLC · For profit - Limited Liability company · BLUE RIDGE HEALTHCARE chain · 59 certified beds · Pinellas · FL


EAGLE LAKE NURSING AND REHAB CARE CENTER is a 59-bed nursing home in SAINT PETERSBURG, Florida. CMS has certified it for Medicare and Medicaid since 1976-01-07. It averages 36.0 residents a day.

What harm was found in the violations cited at EAGLE LAKE NURSING AND REHAB CARE CENTER?

CMS lists 49 health-inspection deficiencies for EAGLE LAKE NURSING AND REHAB CARE CENTER since 2021-03-18, 31 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2024-09-18.

Survey dateTagDeficiencySeverity
2024-09-18F0622, F0626Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.G
2024-09-18F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2024-08-29F0760, F0867Ensure that residents are free from significant medication errors. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.G
2024-08-29F0880, F0882Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-08-29F0584, F0645Honor 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. / PASARR screening for Mental disorders or Intellectual DisabilitiesE
2024-08-29F0640, F0641, F0656, F0677, F0695, F0759, F0909, F0919, F0925, F0554, F0761Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Allow residents to self-administer drugs if determined clinically appropriate. / 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
2023-11-02F0660, F0745Plan the resident's discharge to meet the resident's goals and needs. / Provide medically-related social services to help each resident achieve the highest possible quality of life.K
2023-11-02F0684, F0697, F0727, F0755, F0842Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-08-07F0554, F0610, F0755, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Respond appropriately to all alleged violations. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2022-09-08F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2022-09-08F0578, F0655, F0656, F0657, F0757Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2021-03-18F0755, F0759, F0882Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.E
2021-03-18F0584, F0585, F0641, F0655, F0657, F0677, F0679, F0812, F0842Honor 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was EAGLE LAKE NURSING AND REHAB CARE CENTER fined 2 times?

DateTypeAmount
2024-08-29Fine$152,887
2023-11-02Fine$159,713

How is EAGLE LAKE NURSING AND REHAB CARE CENTER staffed?

MeasureThis facilityFL average
Total nurse staffing hours per resident per day4.292843.82350
Average number of residents per day36.0108.9

Who owns EAGLE LAKE NURSING AND REHAB CARE CENTER, and what chain is it in?

EAGLE LAKE NURSING AND REHAB CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name EAGLE LAKE NURSING & REHAB OPCO LLC and belongs to the BLUE RIDGE HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTEAGLE LAKE NURSING AND REHAB HOLDING LLCsince 02/01/2024
INDIRECT OWNERSHIP INTERESTNAJMAN, EDEN, NAJMAN, PAZsince 02/01/2024
CORPORATE OFFICERNAJMAN, EDENsince 02/01/2024
OPERATIONAL/MANAGERIAL CONTROLBUSH, SHERRYsince 02/01/2024
ADP OF THE SNFBUSH, SHERRY, SABA, FADIsince 02/01/2024

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