Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LUXE AT LUTZ REHABILITATION CENTER (THE)

LUTZ, FL · 120 certified beds · Last Life Safety survey April 18, 2024

CMS Certification Number 106093 · first certified February 2012

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed December 15, 2020 (change of ownership)to LAKES AT LUTZ HEALTH AND REHABILITATION CENTER from RK 4 LLC
6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within FL

6 citations — more than 42% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (July 2025 to March 2026), and past the point by which nine in ten FL facilities have been surveyed. This facility’s last Life Safety survey was April 2024. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility6FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
52020-1002022-0212024-04
Citations at each Life Safety survey
Survey dateCitations
October 30, 20205
February 4, 20220
April 18, 20241

Most-cited tags

Most-cited tags at this facility
K-03241K-03551K-03531K-09201K-02231K-02931
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.12020-10-30
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12020-10-30
K-0353Inspect, test, and maintain automatic sprinkler systems.12020-10-30
K-0920Ensure proper usage of power strips and extension cords.12024-04-18
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12020-10-30
K-0293Have properly located and lighted "Exit" signs.12020-10-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 18, 2024 — 1 citation

Citations issued on April 18, 2024
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 18, 2024)

October 30, 2020 — 5 citations

Citations issued on October 30, 2020
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (November 25, 2020)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (November 18, 2020)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 18, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 18, 2020)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 18, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.