SNF

BLUE PALMS HEALTH AND REHABILITATION CENTER AT FLE

CCN: 105351 · TAMPA, FL 33613 · Hillsborough County

ℹ CCRC

Overview

Address
4100 E FLETCHER AVE, TAMPA, FL 33613
Phone
8136322455
Certified beds
163
Avg daily residents
85 (52% of beds filled)
Ownership
Non-profit (church-affiliated)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1979-05-17
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.71 3.79 3.77 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.59 0.66 0.60 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.93 0.84 0.95 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.18 2.29 2.22 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.52 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.13 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.31
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
3.37
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
37.1%
annual
RN turnover
72.7%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.34
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-04-10 12 12 2 72 1 72
Cycle 2/3 (prior) 2021-11-05 8 6 2 40 1 40
Total weighted health score
64.0
lower is better

Deficiencies (36)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

35 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-06-19 2024-07-12
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-04-10 2024-05-10
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-04-10 2024-05-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-04-10 2024-05-10
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-04-10 2024-05-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-04-10 2024-05-10
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-04-10 2024-05-10
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-04-10 2024-05-10
0761 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. D 2024-04-10 2024-05-10
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. D 2024-04-10 2024-05-10
0880 Provide and implement an infection prevention and control program. E 2024-04-10 2024-05-10
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. D 2024-04-10 2024-05-10
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-04-10 2024-05-10
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2024-04-10 2024-05-10
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2021-11-05 2021-12-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2021-11-05 2021-12-05
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2021-11-05 2021-12-05
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2021-11-05 2021-12-05
0759 Ensure medication error rates are not 5 percent or greater. D 2021-11-05 2021-12-05
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2021-11-05 2021-12-05
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2020-02-20 2020-03-21
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2020-02-20 2020-03-21
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2020-02-20 2020-03-21
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2020-02-20 2020-03-21
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2020-02-20 2020-03-21
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2020-02-20 2020-03-21
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2020-02-20 2020-03-21
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2020-02-20 2020-03-21
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2020-02-20 2020-03-21
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. E 2020-02-20 2020-03-21
0759 Ensure medication error rates are not 5 percent or greater. D 2020-02-20 2020-03-21
0760 Ensure that residents are free from significant medication errors. D 2020-02-20 2020-03-21
0761 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. E 2020-02-20 2020-03-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2020-02-20 2020-03-21
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2020-02-20 2020-03-21
0880 Provide and implement an infection prevention and control program. E 2020-02-20 2020-03-21

Penalties (2)

Fines issued
2
last 3 years
Total fines
$16,801
Date Type Fine amount
2024-04-10 Fine $4,017
2024-04-10 Fine $12,784

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 6.1% Medicaid 24.6% Other 69.3%

Operating performance

Operating Margin
-13.8%
Total Margin
-2.5%
Occupancy Rate
44.7%
Cost per Resident Day
$32

Revenue & costs

Net Patient Revenue
$18.6M
Total Costs
$1.7M
Net Income
-$508K

Balance sheet

Total Assets
$26.0M
Total Liabilities
$22.8M
Fund Balance
$3.2M
Current Ratio
0.96

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CONCORDIA LUTHERAN MINISTRIES

Chain ID
573
Facilities in chain
8
Legal business name
Legal Business Name Not Available
Chain-average star ratings (for peer context)
Overall
3.3
Health
2.6
Staffing
3.4
QM
4.3

Owner / manager individuals (1)

Name Role Association
— Ownership Data Not Available —

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $32 metrics.cost_per_resident_day
Cost Report Current Ratio 0.96 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 24.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.1% metrics.medicare_day_share
Cost Report Net Income ($) $-507,590 metrics.net_income
Cost Report Net Patient Revenue ($) $18,598,110 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 44.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -13.8% metrics.operating_margin
Cost Report Total Assets ($) $26,042,615 metrics.total_assets
Cost Report Total Costs ($) $1,738,384 metrics.total_costs
Cost Report Total Fund Balances ($) $3,247,709 metrics.fund_balance
Cost Report Total Liabilities ($) $22,794,906 metrics.total_liabilities
Cost Report Total Margin (%) -2.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.94868 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.22378 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.60160 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.77405 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.37451 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 85.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.84150 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.28701 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66329 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.79180 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.34207 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.4 Chain Average Staffing Rating
Provider Information Chain ID 573 Chain ID
Provider Information Chain Name CONCORDIA LUTHERAN MINISTRIES Chain Name
Provider Information City/Town TAMPA City/Town
Provider Information CMS Certification Number (CCN) 105351 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Hillsborough County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1979-05-17 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 28.0691 Latitude
Provider Information Legal Business Name Legal Business Name Not Available Legal Business Name
Provider Information Location 4100 E FLETCHER AVE,TAMPA,FL,33613 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -82.416 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 163 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 8 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.34326 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.97504 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Church related Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4100 E FLETCHER AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BLUE PALMS HEALTH AND REHABILITATION CENTER AT FLE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 280 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 72 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-04-10 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 72 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 12 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2021-11-05 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 40 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 2 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 40 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 8 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.34629 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 72.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.52252 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.93169 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.18396 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.12784 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.59083 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.70648 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 8136322455 Telephone Number
Provider Information Total Amount of Fines in Dollars 16801.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.31410 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 37.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 64.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 33613 ZIP Code