Nursing home in Tarpon Springs, Florida
Tarpon Bayou Center
Medicare and Medicaid
515 CHESAPEAKE DR, Tarpon Springs, FL 34689
(727) 934-4629
- The most recent health inspection was more than 2 years ago.
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Florida (691 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Florida average3.3 (691 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home1
- Florida average2.9 (691 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home3
- Florida average3.3 (686 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home3
- Florida average4.2 (686 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Apr 11, 2024. CMS counts 17 health deficiencies in rating cycle 1.
- This nursing home17
- Florida average7.1 (694 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 17 health deficiencies on 1 inspection date since Sep 30, 2023. By level of harm: 17 potential for harm.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 17 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Apr 11, 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0908 | Keep all essential equipment working safely.Environmental Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction May 10, 2024 |
| Apr 11, 2024 | F0584 | 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.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 10, 2024 |
| Apr 11, 2024 | F0645 | PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 10, 2024 |
| Apr 11, 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 10, 2024 |
| Apr 11, 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 10, 2024 |
| Apr 11, 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0637 | Assess the resident when there is a significant change in conditionResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 10, 2024 |
Show the other 7 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Apr 11, 2024 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 10, 2024 |
| Apr 11, 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0758 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 28, 2024 |
| Apr 11, 2024 | F0881 | Implement a program that monitors antibiotic use.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 10, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.16 hours
- Florida average3.82 hours (680 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.56 hours
- Florida average0.73 hours (680 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home23.1%
- Florida average41.4% (646 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 1 penalty for this nursing home: 1 fine totaling $10,170, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 114 |
|---|---|
| Average residents per day | 98.3 |
| Ownership | Non profit - Corporation |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Hearthstone Senior Communities (8 facilities) |
| Legal business name | TARPON REHABILITATION CENTER, LLC |
| First approved for Medicare and Medicaid | Apr 12, 1974 |
| County | Pinellas |
| CMS certification number | 105280 |
Also in Tarpon Springs
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Peninsula Health Center By Harborview | 120 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| AdventHealth North Pinellas | Acute Care Hospitals | Yes |