West Bay of Tampa
3865 Tampa Rd, Oldsmar, FL 34677


West Bay of Tampa is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105419. The address is 3865 Tampa Rd, Oldsmar, FL 34677. The zip code is 34677. The phone number is 8138554661.


West Bay of Tampa · 3865 Tampa Rd, Oldsmar, FL 34677

Federal Provider Number 105419
Provider Name WEST BAY OF TAMPA
Address 3865 TAMPA RD
OLDSMAR, FL 34677
Phone Number 8138554661
SSA County Code 510
County Name Pinellas
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 112
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 3865 TAMPA ROAD LLC
Date First Approved to Provide Medicare Medicaid Services 09/17/1982
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.72813
Reported LPN Staffing Hours per Resident per Day 0.8442
Reported RN Staffing Hours per Resident per Day 0.56786
Reported Licensed Staffing Hours per Resident per Day 1.41205
Reported Total Nurse Staffing Hours per Resident per Day 4.14019
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10089
Expected CNA Staffing Hours per Resident per Day 2.52907
Expected LPN Staffing Hours per Resident per Day 0.63398
Expected RN Staffing Hours per Resident per Day 0.99491
Expected Total Nurse Staffing Hours per Resident per Day 4.15797
Adjusted CNA Staffing Hours per Resident per Day 2.64683
Adjusted LPN Staffing Hours per Resident per Day 1.10521
Adjusted RN Staffing Hours per Resident per Day 0.42648
Adjusted Total Nurse Staffing Hours per Resident per Day 4.01367
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Health Deficiency Score 52
Cycle 1 Standard Survey Health Date 06/10/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 52
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 02/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 01/31/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 34
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · West Bay of Tampa

Owner Name Role Association Date
3865 TAMPA ROAD LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/21/2007
BECKWITH, BRIAN (Individual) DIRECTOR since 12/01/2012
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DAVIS, KEITH (Individual) OFFICER since 04/01/2011
DIVITTORIO, THOMAS (Individual) OFFICER since 12/01/2012
DIVITTORIO, THOMAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 12/01/2012
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FIRTH, CHRISTINA (Individual) DIRECTOR since 12/01/2012
FIRTH, CHRISTINA (Individual) OFFICER since 12/01/2012
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) DIRECTOR since 12/01/2012
FLORIDA HOLDINGS III LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
GAZELLE GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEBHARD, RICHARD (Individual) MANAGING EMPLOYEE since 08/01/2014
GEN MANAGEMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
GHC HOLDINGS II LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HAGER, GEORGE (Individual) DIRECTOR since 12/01/2012
HAGER, GEORGE (Individual) OFFICER since 12/01/2012
HAGER, GEORGE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
HARBORSIDE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARTMAN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HARTMAN, ROBERT (Individual) DIRECTOR since 12/01/2012
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
MIDWAY GEN CAPITAL LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
NEUBERGER, ISAAC (Individual) DIRECTOR since 12/01/2012
REIS, DAVID (Individual) DIRECTOR since 12/01/2012
REITZ, ROBERT (Individual) DIRECTOR since 12/01/2012
REITZ, ROBERT (Individual) OFFICER since 12/01/2012
REITZ, ROBERT (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
ROSENBLUM, ISRAEL (Individual) DIRECTOR since 12/01/2012
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SHERMAN, MICHAEL (Individual) OFFICER since 10/01/2010
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2010
SL GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2008
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
SUNBRIDGE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
WHITMAN, ARNOLD (Individual) DIRECTOR since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

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