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Complaint Investigation

Vivo Healthcare Gandy

January 30, 2026 · Tampa, FL · 4610 S Manhattan Ave
Citations 5
CMS Rating 2/5
Beds 160
Provider ID 105491
Healthcare Facility
Vivo Healthcare Gandy
Tampa, FL  ·  View full profile →
Inspection Summary

Vivo Healthcare Gandy in TAMPA, FL — inspection on January 30, 2026.

Found 5 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0585
Resident Rights Deficiencies
Potential for More Than Minimal Harm

personal control over choices and cultural preference. 'Culture' is the conceptual system that structures the way that people view the world-it is the particular set of beliefs, norms, and values that influence ideas about the nature of relationships, the way people live their lives, and the way people organize the world. 'Cultural Competency' is defined as a developmental process in which individuals or institutions achieve increasing levels of awareness, knowledge, and skills along a cultural competence continuum.

Cultural competence involves valuing diversity, conducting self-assessments, avoiding stereotypes, managing the dynamics of difference, and acquiring and institutionalizing cultural knowledge, and adapting to diversity and cultural contexts in communication. 'Effective communication' describes a process of dialogue between individuals.

The skills include speaking to others in a way they can understand and active listening and observation of verbal and non-verbal cues.

Understanding what the resident is trying to communicate is essential to giving a response.

Additionally, effective communication ensures that information provided to the resident is provided in a form and manner that the resident can access and understand, including a language that the resident can understand.

The facility will provide sufficient guidance for staff, including temporary staff, on how to communicate and deliver care for the resident.

Direct care staff will be trained on effective communication that reflects the needs of the resident population and needs of the staff and will correspond with the Facility Assessment. A review of the facility's Resident and Family grievances policy dated revised 01/2026, revealed: . 'Prompt efforts to resolve' include the facility acknowledgment of a complaint/grievance and actively working toward resolution of that complaint/grievance.

The facility Social Services Director has been designated as the Grievance Official and can be reached at [SSD Contact Number].

The facility will make prompt efforts to resolve grievances.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/30/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Vivo Healthcare Gandy

4610 S Manhattan Ave Tampa, FL 33611

SUMMARY STATEMENT OF DEFICIENCIES

Review of the facility's abuse log revealed an allegation of abuse was filed on [DATE].

Review of a psychology progress note dated [DATE] revealed, client reported that three people (1 male and 2 females) were in her room.

The male was asleep with her in her bed when one of the females began hitting her.

She stated the female began to feed others in the room before they all left.

During an interview conducted with the NHA on [DATE] at 5:54 p.m., the NHA stated a family member alleged on [DATE] at 1:05 p.m. the resident was beat up by staff.

The NHA stated she was notified of the incident when it happened.

She stated she notified DCF on [DATE] at 2:50 p.m.

She stated she notified AHCA on [DATE] at 3:59 p.m.

The NHA stated, I know it was not within the two hours. I was with the police. I was not able to do it.

The NHA stated reporting of abuse incidents should be within two hours.

She stated their investigation was on-going. On [DATE] at 11:30 a.m. an interview was conducted with the RDCS.

She confirmed there were no reports filed or investigated for Resident #3.

The RDCS stated they were reviewing their reportable events.

She stated the NHA should have filed reports in the required timeframes.

She stated if the NHA could not do it for one reason or another, another staff member could submit the report.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/30/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Vivo Healthcare Gandy

4610 S Manhattan Ave Tampa, FL 33611

SUMMARY STATEMENT OF DEFICIENCIES

Review of a job description signed by the Nursing Home Administrator on [DATE] revealed - the primary purpose of your position is to direct the day-to-day functions of the Facility in accordance with current federal, state and local standards guidelines, and regulations that govern nursing facilities to assure that the highest degree of quality care can be provided to our residents at all times.Duties and responsibilities included:-Review resident complaints and grievances and make written reports of action taken.

Discuss such actions with resident and family as appropriate.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/30/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Vivo Healthcare Gandy

4610 S Manhattan Ave Tampa, FL 33611

SUMMARY STATEMENT OF DEFICIENCIES

for four and half hours of video.

She stated the administration was not forthcoming at all.

She stated they had an unsupervised smoking patio which they corrected in [DATE].

The RDCS said, I wanted to be transparent. I have integrity. I did not know about the 4.5 hours. I would have investigated it further.

The RDCS stated they took immediate action last night and have several staff members who will not be returning.

The RDCS said, We have now reported the neglect allegation.

The CNO stated they became aware the NHA had a culture of hiding everything.

She said, She is not returning.

She hid stuff from us.

The CNO stated they could not have an unethical culture.Review of a facility policy titled, Compliance and Ethics Reporting, revised 01/2026 revealed the facility implements and publicizes a reporting system that allows anyone to report compliance violations anonymously without fear of retribution and that ensures the integrity of the reports.Policy explanation and compliance guidelines:1.

This facility supports an open door policy in which anyone may discuss concerns or report compliance violations to any supervisor, manager, HR representative, or compliance professional at any time.2.

The facility has a designated contact person to which anyone may report suspected violations.

This person is (insert job title) and may be reached at (insert contact information, or location of contact information).3.

This facility has a (hotline number, intranet application, drop box, etc.) for reporting suspected violations anonymously, without fear of retribution.4.

Information related to reporting compliance violations is posted (insert locations).

Training shall be provided on a regular basis, not less than upon orientation and annually, to remind individuals of the reporting system, what to report, timeframes for reporting, and how to report.5.

All information pertaining to a report will be kept confidential within the law.

Anyone who reports a violation or suspected violation in good faith shall not be harassed, reprimanded, or discriminated against in any way.6.

Employees with knowledge of a violation or suspected violation of the compliance program's standards, policies, and procedures are required to report it immediately.

Staff who knowingly fail to report a violation shall be subject to disciplinary action, up to and including termination.7.

Should any person have questions regarding compliance with state or federal laws, they should immediately seek clarification from the compliance officer, a supervisor, or through the facility hotline and/or web reporting.8.

Once a report is received, an investigation will be conducted to determine whether a substantial violation or opportunity for improvement exists.

Corrective actions will be implemented as necessary.9.

The compliance and ethics program contact person shall follow up with those individuals making a report, except in those instances where the report was made anonymously.10.

All reports will be tracked for purposes of QAPI and evaluating the effectiveness of the compliance and ethics program.

Documentation shall be maintained for a minimum of three years by (insert job title).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/30/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Vivo Healthcare Gandy

4610 S Manhattan Ave Tampa, FL 33611

SUMMARY STATEMENT OF DEFICIENCIES

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Review of the facility's policy titled, Oxygen Administration, revised 1/2026 revealed the following: . 5 e) Keep delivery devices covered when not in use.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TAMPA, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Vivo Healthcare Gandy or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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