Inspection Reports for The Pavilion of East Tampa

FL, 33610

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Deficiencies (last 11 years)

Deficiencies (over 11 years) 7.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

63% worse than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

12 9 6 3 0
2014
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Apr 1, 2025

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State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.

Findings
Across numerous inspections from 2012 to 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Deficiencies were cited in many complaint and standard inspections, with some later corrected.

Report Facts
Inspections on page: 79

Inspection Report

Complaint
Deficiencies: 0 Date: Apr 1, 2025

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Deficiencies: 0 Date: Jan 6, 2025

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No deficiencies noted during this standard inspection.

Findings
No deficiencies noted during this standard inspection.

Inspection Report

Complaint
Deficiencies: 0 Date: Aug 14, 2024

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Complaint
Deficiencies: 1 Date: May 9, 2024

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One Class 3 deficiency related to MEDICATION - LABELING AND ORDERS.

Findings
One Class 3 deficiency related to MEDICATION - LABELING AND ORDERS.

Deficiencies (1)
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Deficiencies: 3 Date: Feb 15, 2024

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Three deficiencies: two with severity '2' and one Class 3 related to admissions, resident care supervision, and resident records.

Findings
Three deficiencies: two with severity '2' and one Class 3 related to admissions, resident care supervision, and resident records.

Deficiencies (3)
Tag A0007 — ADMISSIONS - CRITERIA
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0162 — RECORDS - RESIDENT

Inspection Report

Complaint
Deficiencies: 0 Date: Dec 7, 2023

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Complaint
Deficiencies: 0 Date: Aug 21, 2023

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Complaint
Deficiencies: 0 Date: Jul 11, 2023

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Complaint
Deficiencies: 2 Date: May 25, 2023

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Two Class 3 deficiencies related to resident care rights & facility procedures and food service dietary standards.

Findings
Two Class 3 deficiencies related to resident care rights & facility procedures and food service dietary standards.

Deficiencies (2)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS

Inspection Report

Complaint
Deficiencies: 0 Date: Mar 30, 2023

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Deficiencies: 10 Date: Jan 12, 2023

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Multiple Class 3 and Unclassified deficiencies related to admissions, resident care, staffing, training, records, and background screening.

Findings
Multiple Class 3 and Unclassified deficiencies related to admissions, resident care, staffing, training, records, and background screening.

Deficiencies (10)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0080 — TRAINING - CORE & COMPETENCY TEST
Tag A0161 — RECORDS - STAFF
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING

Inspection Report

Complaint
Deficiencies: 2 Date: Nov 21, 2022

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Two Class 3 deficiencies related to training on Do Not Resuscitate Orders and resident care supervision.

Findings
Two Class 3 deficiencies related to training on Do Not Resuscitate Orders and resident care supervision.

Deficiencies (2)
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0025 — RESIDENT CARE - SUPERVISION

Inspection Report

Complaint
Deficiencies: 4 Date: Sep 14, 2022

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Three Class 3 deficiencies related to staff in-service training, records inspection availability, and risk management & QA.

Findings
Three Class 3 deficiencies related to staff in-service training, records inspection availability, and risk management & QA.

Deficiencies (4)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0164 — RECORDS - INSPECTION AVAILABILITY
Tag A0165 — RISK MGMT & QA
Tag CZ841 — IN-PERSON VISITATION

Inspection Report

Complaint
Deficiencies: 0 Date: Jul 5, 2022

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Complaint
Deficiencies: 1 Date: May 18, 2022

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One Class 3 deficiency related to emergency management planning.

Findings
One Class 3 deficiency related to emergency management planning.

Deficiencies (1)
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING

Inspection Report

Complaint
Deficiencies: 1 Date: Feb 15, 2022

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One Class 3 deficiency related to resident care supervision.

Findings
One Class 3 deficiency related to resident care supervision.

Deficiencies (1)
Tag A0025 — RESIDENT CARE - SUPERVISION

Inspection Report

Complaint
Deficiencies: 0 Date: Dec 3, 2021

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No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Deficiencies: 3 Date: Jan 5, 2021

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Three Class 3 deficiencies related to staffing standards, emergency plan approval, and emergency environmental control.

Findings
Three Class 3 deficiencies related to staffing standards, emergency plan approval, and emergency environmental control.

Deficiencies (3)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0181 — EMERGENCY PLAN APPROVAL
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL

Inspection Report

Complaint
Deficiencies: 3 Date: May 20, 2020

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Three Class 3 deficiencies related to resident care rights & facility procedures, physical plant safe living environment, and emergency environmental control.

Findings
Three Class 3 deficiencies related to resident care rights & facility procedures, physical plant safe living environment, and emergency environmental control.

Deficiencies (3)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL

Inspection Report

Complaint
Deficiencies: 2 Date: Aug 7, 2019

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Two Class 3 deficiencies related to resident care supervision and training on assisted self-administered meds and med management.

Findings
Two Class 3 deficiencies related to resident care supervision and training on assisted self-administered meds and med management.

Deficiencies (2)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT

Inspection Report

Deficiencies: 5 Date: Oct 16, 2018

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Four Class 3 deficiencies related to staffing standards, food service dietary standards, facility records, resident records, and emergency plan approval.

Findings
Four Class 3 deficiencies related to staffing standards, food service dietary standards, facility records, resident records, and emergency plan approval.

Deficiencies (5)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0160 — RECORDS - FACILITY
Tag A0162 — RECORDS - RESIDENT
Tag A0181 — EMERGENCY PLAN APPROVAL

Inspection Report

Complaint
Deficiencies: 4 Date: Apr 25, 2018

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Four Class 3 deficiencies related to admissions continued residency, resident care supervision, medication records, and food service general responsibilities.

Findings
Four Class 3 deficiencies related to admissions continued residency, resident care supervision, medication records, and food service general responsibilities.

Deficiencies (4)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0054 — MEDICATION - RECORDS
Tag A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES

Inspection Report

Monitor
Deficiencies: 4 Date: Feb 13, 2018

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Four Class 3 deficiencies related to resident care social & leisure activities, resident care rights & facility procedures, medication storage and disposal, and facility records.

Findings
Four Class 3 deficiencies related to resident care social & leisure activities, resident care rights & facility procedures, medication storage and disposal, and facility records.

Deficiencies (4)
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0160 — RECORDS - FACILITY

Inspection Report

Complaint
Deficiencies: 1 Date: Nov 14, 2017

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One Class 3 deficiency related to pharmacy & dietary uncorrected deficiencies.

Findings
One Class 3 deficiency related to pharmacy & dietary uncorrected deficiencies.

Deficiencies (1)
Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES

Inspection Report

Complaint
Deficiencies: 4 Date: Sep 5, 2017

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Four deficiencies including three Class 3 related to resident care rights, medication labeling, physical plant safe living environment, and one Class 4 related to background screening clearinghouse.

Findings
Four deficiencies including three Class 3 related to resident care rights, medication labeling, physical plant safe living environment, and one Class 4 related to background screening clearinghouse.

Deficiencies (4)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE

Inspection Report

Expansion
Deficiencies: 5 Date: Mar 13, 2017

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Four Class 3 deficiencies and one Class 4 deficiency related to resident care social activities, staff in-service training, HIV/AIDS training, facility records, and limited nursing services resident care standards.

Findings
Four Class 3 deficiencies and one Class 4 deficiency related to resident care social activities, staff in-service training, HIV/AIDS training, facility records, and limited nursing services resident care standards.

Deficiencies (5)
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0160 — RECORDS - FACILITY
Tag AN277 — LNS - RESIDENT CARE STANDARDS

Inspection Report

Complaint
Deficiencies: 4 Date: Aug 22, 2016

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One Class 3 deficiency and three Class 4 deficiencies related to training on assisted self-admin meds, results of screening & notification, background screening clearinghouse, and prohibited offenses.

Findings
One Class 3 deficiency and three Class 4 deficiencies related to training on assisted self-admin meds, results of screening & notification, background screening clearinghouse, and prohibited offenses.

Deficiencies (4)
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag AZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE
Tag AZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Deficiencies: 10 Date: Apr 12, 2016

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Multiple Class 3 deficiencies related to resident care social activities, medication labeling, resident care supervision, medication assistance, medication records, staffing standards, staff in-service training, training on DNROs, food service dietary standards, and risk management & QA.

Findings
Multiple Class 3 deficiencies related to resident care social activities, medication labeling, resident care supervision, medication assistance, medication records, staffing standards, staff in-service training, training on DNROs, food service dietary standards, and risk management & QA.

Deficiencies (10)
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT

Inspection Report

Complaint
Deficiencies: 4 Date: Oct 3, 2014

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Four Class 3 deficiencies related to medication records, medication storage and disposal, staff in-service training, and training on assisted self-admin meds.

Findings
Four Class 3 deficiencies related to medication records, medication storage and disposal, staff in-service training, and training on assisted self-admin meds.

Deficiencies (4)
Tag A0054 — MEDICATION - RECORDS
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT

Inspection Report

Deficiencies: 9 Date: Feb 20, 2014

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Multiple Class 3 deficiencies related to resident care supervision, social & leisure activities, medication assistance, medication records, staffing levels, staff in-service training, training on DNROs, and food service dietary standards.

Findings
Multiple Class 3 deficiencies related to resident care supervision, social & leisure activities, medication assistance, medication records, staffing levels, staff in-service training, training on DNROs, and food service dietary standards.

Deficiencies (9)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0079 — STAFFING STANDARDS - LEVELS
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT

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