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

BAYSHORE POINTE NURSING AND REHAB CENTER

TAMPA, FL · 117 certified beds · Last Life Safety survey September 21, 2024

CMS Certification Number 105650 · first certified July 1989

Ownership

Operated by SOVEREIGN HEALTHCARE HOLDINGS · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within FL

8 citations — more than 57% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; 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?

Past the typical window (January 2026 to August 2026). Most FL facilities have been surveyed by November 2026. This facility’s last Life Safety survey was September 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

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 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 8 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

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 facility8FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
22021-0232022-0632024-09
Citations at each Life Safety survey
Survey dateCitations
February 26, 20212
June 23, 20223
September 21, 20243

Most-cited tags

Most-cited tags at this facility
K-09182K-07122K-02811K-07611K-03631K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-09-21
K-0712Have simulated fire drills held at unexpected times.22022-06-23
K-0281Install proper backup exit lighting.12022-06-23
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12021-02-26
K-0363Install corridor and hallway doors that block smoke.12024-09-21
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-09-21

What the citations cover

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

Every citation on file

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

September 21, 2024 — 3 citations

Citations issued on September 21, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 31, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 31, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 31, 2024)

June 23, 2022 — 3 citations

Citations issued on June 23, 2022
TagWhat the surveyor checksStatus
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (July 21, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 21, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 21, 2022)

February 26, 2021 — 2 citations

Citations issued on February 26, 2021
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 26, 2021)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 26, 2021)

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