518 W Fletcher Ave, Tampa, FL 33612 · Hillsborough County · (813) 265-1600
120 certified beds, about 114 residents a day · For profit - Individual · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105644 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 11, 2024, inspectors cited 8 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 34 health citations since February 2021, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $57,962 in the last three years; the largest was $32,200, and the latest is dated October 24, 2024.
Nurses and nurse aides worked 3.30 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
52.6% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Aviata Health Group, an affiliated group of 50 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure medical records were complete and accurate related to alleged incidents of abuse and neglect for three residents (#3, #8, #9) of five sampled residents.
Inspectors wroteBased on interview and record reviews the facility failed to ensure residents were free from significant medication errors for three residents (#4, #5 and #6) of three sampled residents.
Inspectors wroteBased on record review and interviews, the facility failed to notify the physician a medication error had occurred for one resident (#5) out of four residents sampled.
Inspectors wroteBased on interview and record review the facility failed to ensure residents received treatment and care in accordance with professional standards of practice related to the administration of Vancomycin. The facility failed to obtain and follow physician orders for Vancomycin laboratory services, and failed to report laboratory results to the physician and pharmacy for one resident (#2) of two residents sampled.
Inspectors wroteBased on observation, record review, and interview, the facility failed to implement their Abuse, Neglect, Exploitation, & Misappropriation Policies and Procedures regarding a failure to attempt to verify information from former employers prior to hire for one (Staff A, Certified Nursing Assistant) of four sampled staff members. Findings Included: Review of the facility's Abuse, Neglect, Exploitation, & Misappropriation policies and procedures, Document Name N-1265, effective 11/30/2024, last reviewed 11/16/2022, documented in Policy: It is inherent in the nature and dignity of each resident at the center that he/she be afforded basic human rights, including the right to be free from abuse, neglect, mistreatment, exploitation and/or misappropriation of property. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure treatment and care for management of pain was provided in accordance with professional standards of practice for one resident (Resident #7) of three residents sampled for pain management.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure accuracy of the medical record by failing to document administration of medications for one resident (Resident #7) of three residents sampled for pain management. Findings Included: During an interview on 12/9/2024 at 9:30 a.m., Resident #7 stated she was recently admitted to the hospital because during morning medication pass, her face turned blue. She stated on 11/23/2024, in the morning, she had just removed her oxygen mask when the nurse came into provide her with her medication. Resident #7 stated she took the medication and immediately her face turned blue, and the nurse had to call other staff members into the room. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to follow food menus for two (#4 and #5) of two sampled residents and failed to act upon the grievances of the Resident Council Committee related to food menus.
Inspectors wroteBased on observation, interview and record review, the facility failed to establish and implement a Quality Assurance and Performance Improvement (QAPI) Program that demonstrated identification, monitoring and implementation of an effective action plan to correct citations related to failing to follow food menus for four residents (Resident #4, Resident #14, Resident #15, and Resident #16) of five sampled residents, failing to act upon the grievances of the Resident Council Committee related to food menus, and failing to collaborate with the Registered Dietician related to menu substitutions (F565) during the revisit survey conducted on 12/9/2024.
Inspectors wroteBased on observation, interview and record review, the facility failed to assess and determine it was safe for a resident to self-administer medications for one (#2) of three sampled residents related to nebulizer treatments.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow standard and enhanced barrier precautions when performing urinary catheter care and services for one (#3) of three sampled residents
Inspectors wroteBased on interviews and record review, the facility failed to protect the resident's right to be free from deprivation of goods and services, by staff failing to provide one resident (#1) with Cardiopulmonary Resuscitation (CPR) per the resident's wishes out of eight residents sampled for advance directives. On [DATE] at approximately 3:00 a.m., Resident #1 became unresponsive during routine care. Nursing staff assessed Resident #1 and Emergency Medical Services (EMS) was called to the facility. Prior to EMS arrival, nursing staff reviewed the medical record and determined Resident #1 had a Do Not Resuscitate (DNR) order. Nursing staff provided oxygen at a high concentration via mask, and sternal rubs were intermittently applied with no response from the resident. The EMS team arrived and conducted an initial assessment. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure cardiopulmonary resuscitation (CPR) was performed according to the resident's expressed Advance Directive to honor their rights and professional standards for one resident (#1) out of eight residents reviewed for advance directives. On [DATE] at approximately 3:00 a.m., Resident #1 became unresponsive during routine care. Nursing staff assessed Resident #1 and Emergency Medical Services (EMS) was called to the facility. Prior to EMS arrival, nursing staff reviewed the medical record and determined Resident #1 had a Do Not Resuscitate (DNR) order. Nursing staff provided oxygen at a high concentration via mask, and sternal rubs were intermittently applied with no response from the resident. The EMS team arrived and conducted an initial assessment. [...]
Inspectors wroteBased on observations, staff interviews and review of records, the facility failed to ensure one (dining room) of two ice makers used for residents was free from bio-growth.
Inspectors wroteBased on observation, interview and record review, the facility failed to establish a policy to ensure a safe smoking area where protection from excessive heat and access to hydration was provided to nine of nine ( #13, #108, #30, #106, #165, #98, #19, #317, #166) residents identified as smokers.
Inspectors wroteBased on interview and record review, the facility failed to identify and report an allegation of physical abuse by a staff member for one (#314) of three residents reviewed for abuse. Findings Included: A review of the admission Record showed Resident #314 was most recently admitted to the facility on [DATE] with diagnoses to include cerebrovascular Accident (CVA), aphasia, hemiplegia, depression, and legal blindness. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #314 had a Brief Interview Status (BIMS) score of 14 out of 15, indicating intact cognition. Resident #314 needed maximum assistance with one-person physical assistance with bed mobility, dressing, toilet use, and personal hygiene, and extensive assistance with two plus persons physical assistance with transfers. [...]
Inspectors wroteBased on observations, record review, and interview the facility failed to complete an accurate Minimum Data Set (MDS) assessment that accurately reflected the dental status for one (#21) of 48 sampled residents. Findings Included: Interview with Resident #21 on 07/08/24 at 3:38 PM revealed he has had some toothache pain recently and that the facility puts cream on it. He reported that the cream does not always work and that he has not seen a dentist. On 07/10/24 at 12:40 PM, the resident reported that he has a few teeth left and that one on the bottom has a hole and that one on top was cracked. The resident reported that other than his usual body pain he constantly has mouth pain. The resident reported that he has trouble eating and has to cut everything up small. [...]
Inspectors wroteBased on observation, staff and resident interviews, and record review, the facility failed to implement care plan interventions for one (#96) of 48 sampled residents, during four of four days (7/8/2024, 7/9/2024, 7/10/2024, and 7/11/2024).
Inspectors wroteBased on observations, interviews, and record review the facility failed to provide care according to standards of practice related to an intravenous (IV) line, related to labeling of an IV line and accurate identification of the type of IV line for one resident (#264) out of one resident sampled for IV antibiotics.
Inspectors wroteBased on observations, record review, and interview the facility failed to provide dental services in a timely manner for 1 of 48 (#21) sampled residents. Findings Included: Review of Resident #21's record revealed this resident was re-admitted to the facility on [DATE] with diagnoses to include Ataxia, Chronic Obstructive Pulmonary Disease and Hyperlipidemia. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13, indicating cognitively intact. Interview with Resident #21 on 07/08/24 at 03:38 PM revealed that he has had some toothache pain recently and that the facility puts cream on it. He reported that the cream does not always work and that he has not seen a dentist. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to administer medications in a clean and sanitary manner to prevent the spread of infection related to touching resident medications with bare hands for one resident (#36) out of six residents observed during the medication administration task.
Inspectors wroteBased on record review and interview the facility failed to provide and honor the resident rights for choice related to health insurance for 3 of 3 (#21, #26, #50) residents reviewed for payer source changes.
Inspectors wroteBased on record review and interview, the facility failed to ensure one of three immediate reports reviewed for allegations of neglect was reported within the required 24 hour timeframe.
Inspectors wroteBased on observations, interview, and record review, the facility failed to accommodate the needs of three (Residents #3, #23, and #244) of four residents sampled for the provision of appropriate incontinent briefs.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to provide colostomy care consistent with profession standards of practice for one (Resident #449) of two sampled residents with a colostomy.
Inspectors wroteBased on observations, staff interview, and facility record review, the facility failed to ensure one of one kitchen dish washing machine was running at the required specifications during two of four days observed, (4/18/2022 and 4/19/2022).
Inspectors wroteBased on interview and record review, the facility failed to develop a care plan for one (Resident #450) of one resident in the facility on Transmission Based Precautions (TBP).
Inspectors wroteThe facility failed to reassess care plan problem areas and interventions for one (Resident #10) of forty sampled residents related to accuracy of care plans.
Inspectors wroteBased on record review and interview, the facility failed to ensure wound care was completed and documented according to Physician's Orders and professional standards on three (04/14/2022, 04/15/2022 and 04/16/2022) of thirteen days reviewed, and for one (Resident #494) of thirteen residents with pressure wounds.
Inspectors wroteBased on observations, interviews, and record review, the facility did not follow the Registered Dietician's recommendations and maintain acceptable parameters of nutritional status for one (Resident #45) of forty sampled residents. Findings Included: An observation and interview were conducted for Resident #45 on 4/18/22 at 12:00 p.m. Resident #45 was lying in bed with her roommate sitting at her bedside. The resident appeared small and frail. She stated her biggest concern was the food, she did not like it. A review of the admission records indicated Resident #45 was admitted on [DATE] with diagnoses including cerebral infarction, diabetes mellitus type II, major depressive disorder, peripheral vascular disease, gastroesophageal reflux disease (GERD,) and dysphagia. [...]
Inspectors wroteBased on interviews and record review, the facility failed to ensure behavior monitoring was in place for one (Resident #444) of five sampled residents on psychotropic medications.
Inspectors wroteBased on observation, staff interview, and maintenance record review, the facility failed to maintain a safe, clean, comfortable and homelike environment on two (East and West) of two units, as evidenced by damage and holes in the walls of resident rooms, common area handrails with missing end bumpers exposing internal components and frayed plastic wall bumpers with sharp edges exposed, an unsanitary shower room with floor and wall tiles missing, and a broken bed footboard exposing unsanitary and unsafe composite rough edges.
Inspectors wroteBased on observation, interview, and record review the facility failed to implement care plan interventions for one (Resident #49) of two residents sampled for accidents related to ensuring floor mats were in place for a high fall risk resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide indwelling catheter care related to creating physician orders, creating an individualized care plan with interventions, and monitoring and reporting signs and symptoms of infection for one (Resident #67) of five residents with an indwelling catheter.
7 fire safety citations on file: 1 on July 11, 2024, 6 on February 26, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| October 24, 2024 | Fine | $32,200 |
| July 11, 2024 | Fine | $25,762 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.30 | 3.82 | 3.86 |
| Registered nurses | 0.61 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.49 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 52.6% | 41.4% | 45.8% |
| Registered nurse turnover | 61.9% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.39 on weekdays and 3.07 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.30 | 0.61 | 3.39 | 3.07 | 0.0% | 0 of 90 | 114 |
| Oct to Dec 2025 | 3.36 | 0.73 | 3.46 | 3.10 | 0.0% | 0 of 92 | 115 |
| Jul to Sep 2025 | 3.33 | 0.76 | 3.45 | 3.03 | 0.0% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.29 | 0.73 | 3.39 | 3.03 | 0.0% | 0 of 91 | 112 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.3 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.6 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.8 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 37.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.1 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Aviata at Fletcher's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.3% this home
No different from the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 43 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 51 eligible stays.
8.6% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 28 eligible stays.
53.8% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 80 residents counted.
0.7% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 138 residents counted.
2.2% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 138 residents counted.
100.0% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 34 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST FLETCHER AVE OPCO LLC. CMS links this home to Aviata Health Group, a group of 50 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| West Fletcher Parent LLC | Direct ownership interest | Organization | 09/01/2023 | |
| Tampa Holdco LLC | Indirect ownership interest | Organization | 09/01/2023 | |
| Freund, Nochum | Corporate officer | Individual | 09/01/2023 | |
| Burns, Shelva | Operational/managerial control | Individual | 01/06/2025 | |
| Freund, Nochum | Operational/managerial control | Individual | 09/01/2023 | |
| Rabago-Reyes, Cassandra | Operational/managerial control | Individual | 09/01/2023 | |
| Dagan, Amitai | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/01/2025 | |
| Goldberger, Abraham | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/28/2025 | |
| Goldberger, Faigy | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/01/2025 | |
| Herskowitz, Eliezer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/16/2025 | |
| Herskowitz, Yaakov | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/16/2025 | |
| Travitsky, Aaron | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/16/2025 | |
| Aspire Mgt LLC | Adp of the SNF | Organization | 09/01/2023 | |
| Burns, Shelva | Adp of the SNF | Individual | 01/06/2025 | |
| Rabago-Reyes, Cassandra | Adp of the SNF | Individual | 09/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.