Carrollwood Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 127 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 27.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 92 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 38% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 117.0 residents a day — about 98% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.00 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.03 hrs/resident/day on weekends vs 3.30 on weekdays — 8% thinner on weekends. RN hours go from 0.58 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Fcited before2025-01-08 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, facility record review and staff interviews, the facility failed to ensure one of one kitchen dish washing machine was maintained and operated per the manufacturer's specifications related to wash cycle temperatures running below operation requirements. Findings included: On 1/5/2025 at 9:20 a.m. a kitchen tour was conducted with Staff N, Dietary Aide. He was observed operating the dish washing machine. Staff N stated he began washing dishes about ten minutes earlier, which would have been around 9:10 a.m. Staff N pushed a crate of dishes through the left side of the machine to be washed. The right side of the machine was observed with three crates of already washed dishes. Staff N revealed he believed the machine was operating at the required wash and rinse temperatures. He stated he had ran over ten crates of dishes during that time frame. Staff N did not know what the required wash and rinse temperatures were. On 1/5/2025 at 9:58 a.m. the Dietary Manager provided a full kitchen tour. The Dietary Manager revealed they operate a high temperature dish washing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-08 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure drugs and biologicals were securely stored in four resident rooms (211-B, 212-A, 212-B, 501-B, and 611-B) of 62 rooms and for one (700 hall cart) of three medication carts used in the facility. Findings included: An observation on [DATE] at 10:07 a.m. in room [ROOM NUMBER]-A showed an 8-ounce (oz) spray bottle of dermal wound cleanser laid on the nightstand at bedside. An observation on [DATE] at 10:17 a.m. in room [ROOM NUMBER]-B showed a 3.75 ounce (oz) of antifungal cream laid on the nightstand at bedside. An observation on [DATE] at 10:25 a.m. in room [ROOM NUMBER]-B showed a 2.5-ounce (oz) [Manufacture's name] hydrophilic wound dressing cream and two 18-ounce (oz) packets of preventative ointment laid on the nightstand at bedside. During an interview on [DATE] at 5:03 p.m. the Assistant Director of Nursing (ADON) and designated Infection Preventionist (IP) stated the 8-ounce (oz) spray bottle of dermal wound cleanser found in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-08 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure care plan interventions for contracture management and hand splinting/orthotics use were developed in a timely manner for one (#96) of forty sampled residents. Findings included: On 1/5/2025 at 10:30 a.m. Resident #96 was observed in bed with his hands out from the sheets and positioned on his upper chest. Both the Left and Right hand appeared severely contracted and without any splints or orthotics on. In an immediate interview, Staff M, Certified Nursing Assistant (CNA) revealed she did not have Resident #96 on her assignment for today but has had him on her assignment many times before. Staff M stated Resident #96 received total assistance and was dependent on staff with all his Activities of Daily Living (ADLs). She could not identify if Resident #96 had any actual contractures and did not know if he utilized or wore splints or orthotics on either of his hands. She revealed she had not seen him with splints or orthotics on his…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-08 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record review, the facility did not ensure timely ophthalmology referral/consult was provided for one resident (#89) out of two residents reviewed. Findings included: On 01/05/2025 at 10:50 a.m. an observation and interview were conducted with Resident #89 in his room. Resident #89 requested surveyor to come closer because his vision was not the best. The resident stated he had seen the eye doctor at least twice but could not recall the dates. He sated he was told he needed glasses. Resident #89 stated he had bad cataracts. On 01/06/2025 at 12:29 p.m. an interview was conducted with the Optometrist who was conducting her monthly rounds. The Optometrist agreed Resident #89 had severe cataracts affecting his vision. She stated the process was to initially reach out to social services to inform her of who she is visiting as well as social service would provide a list of residents with request for Optometry. The Optometrist stated in the next 3 to 4 days, she will send the facility a list of the residents she had visited and their…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility did not ensure care and services were provided, resulting in an actual or potential decline in a pressure ulcer for two residents (#89 and #111) of seven residents sampled. Findings included: On 01/05/2025 at 10:51 a.m., an initial observation and interview were conducted with Resident #89 in his room. During the interview, Resident #89 stated he currently had a sore to my bottom and stated the wound had not been changed since Friday by Staff S, Registered Nurse (RN). Resident #89 stated he was told by someone the wound was getting worse but could not recall who told him this information. Resident #89 also stated the wound must be getting worse because the pain to his bottom is getting worse. On 01/05/2025 at 11:01 a.m., an observation and interview were conducted with Staff R, Registered Nurse/Unit Manager (RN/UM). With the consent of Resident #89, an observation was made with Staff R, RN/UM of Resident #89's wound. Staff R, RN/UM assisted the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-08 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews and record review, the facility did not ensure a Peripherally Inserted Central Catheter (PICC) was maintained based upon current professional standards of practice for one (#106) out of three residents sampled. Findings included: On 01/05/2025 at 1:16 p.m. an observation was made of Resident #106 in her room with enteral tube feedings infusing. Resident #106 lifted her left arm to where a PICC line was observed. Further observation showed the catheter dressing dated 12/21/24. Staff K, Certified Nursing Assistant (CNA) made observation of the PICC line date and confirmed the date was 12/21/24. On 01/08/2025 at 10:28 a.m. an interview was conducted with Staff A, Licensed Practical Nurse/Unit Manager (LPN/UM). Staff A, LPN/UM confirmed no physician orders were provided in the care of Resident #106s PICC line. Staff A, LPN/UM stated usually when a resident has an order for a PICC line, a standard built in order set for central line catheter will be added as an order to ensure PICC line catheter and dressing assessments and dressing changes. Staff A,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-08 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record reviews, and interviews the facility failed to ensure the medication error rate was less than 5.00%. Twenty-six medication administration opportunities were observed, and six errors were identified for one resident (#88) of five residents observed. These errors constituted a 23.08% medication error rate. Findings included: On 01/07/2025 at 8:49 a.m., an observation was made of Staff F, Registered Nurse (RN) administering the following medications for Resident #88: -Glargine 10 units Subcutaneously -Biktarvy 50 milligrams/200 milligrams/25 milligrams oral tablet dispensed one tablet -Metoprolol 25 milligrams oral tablet dispensed one tablet -Paroxetine HCL 10 milligrams oral tablet dispensed two tablets -Famotidine 20 milligrams oral tablet dispensed one tablet -Aspirin 81 milligrams oral tablet dispensed one tablet -Prebiotic oral tablet dispensed one tablet -MiraLAX 17 grams dispensed one capful per manufacturer's -Breo 100 micrograms/25 micrograms inhaler provided one puff All medications were crushed, mixed in apple sauce and administer to Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-08 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure nebulizer masks for three residents (#9, #92 and #221) out of 16 residents identified with nebulizer treatment orders were stored in a safe and sanitary manner. The facility failed to ensure staff wore appropriate Personal Protective Equipment (PPE) for one resident (#112) of 17 residents identified with GI (Gastronomy) tubes while care was provided. Findings included: An observation on 01/05/25 at 9:15 a.m. showed Resident #221's nebulizer mask laid on top of the provided respiratory storage bag at bedside. During an interview on 01/05/25 at 9:15 a.m. Resident # 221 stated he was administered nebulizer treatments for about 15 minutes before bed nightly. Review of the admission record showed Resident #221 was admitted to the facility on [DATE] with diagnoses that included but not limited to Pleural Effusion, not elsewhere classified and heart failure. Review of current physician orders for Resident #221 showed, Ipratropium-Albuterol…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-09-14 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure the medication error rate was less than 5.00%. Twenty - six medication administration opportunities were observed, and five errors were identified for three residents (#89, #73, and #111) of five residents observed. These errors constituted a 19.23 % medication error rate. Findings included: 1. On 09/13/2022 at 9:21 a.m. a medication observation was conducted alongside Staff B, Licensed Practical Nurse (LPN) as she prepared medications for Resident # 89. She said she had prepared all the ordered medications except one. She indicated at that time Olmesartan 40 mg (milligram) tablet was not in the medication cart. At that time Staff B went to the backup system and confirmed Olmesartan was not in the system. Staff B said she would need to reorder the medication so it would be available to be given later today. Medication reconciliation revealed a physician order for Olmesartan Medoxomil oral tablet 40 mg give 40 mg by mouth one time a day for hypertenison (HTN), order date 08/19/2022, was omitted at the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-09-14 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined the facility failed to provide Quality Assurance and Performance Improvement (QAPI) practice that demonstrated identification, monitoring and implementation of an effective Action Plan to improve findings of deficient practice identified on the recertification survey conducted 9/14/2022, regarding a medication error rate of greater than 5.0%. Findings included: 1. On 9/14/2022 during a recertification survey deficient practice was identified during medication administration and F759 was cited with a severity of D. Finding included: On 09/13/2022 at 9:21 a.m. a medication observation was conducted alongside Staff B, Licensed Practical Nurse (LPN) as she prepared medications for Resident # 89. She said she had prepared all the ordered medications except one. She indicated at that time Olmesartan 40 mg (milligram) tablet was not in the medication cart. At that time Staff B went to the backup system and confirmed Olmesartan was not in the system.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to FLORIDA INSTITUTE FOR LONG-TERM CARE — 17 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $159K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL