Tarpon Bayou Center
515 Chesapeake Dr, Tarpon Springs, FL 34689 · Pinellas County · 114 certified beds · avg 98 residents/day · certified since Apr 12, 1974
Part of chain: HEARTHSTONE SENIOR COMMUNITIES (8 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 11, 2024 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Apr 11, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 11, 2024 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Apr 11, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 11, 2024 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 11, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 11, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 6, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 6, 2020 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 6, 2020 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | D |
| 2022 | 1 | 0 | D |
| 2024 | 17 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,170.
| Date | Type | Amount / length |
|---|---|---|
| Apr 11, 2024 | Fine | $10,170 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.28 | 4.03 | 3.95 | bottom 4% in Florida; bottom 25% in the U.S. |
| Registered Nurse hours | 0.58 | 0.76 | 0.69 | bottom 36% in Florida; bottom 50% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.68 | 3.50 | bottom 10% in Florida; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.53 | 0.48 | bottom 11% in Florida; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 23.1 | 41.4 | 45.8 | top 9% in Florida; top 5% in the U.S. |
| RN turnover (%) | 28.6 | 46.0 | 42.9 | top 17% in Florida; top 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.16, RN 0.56, weekend 3.04. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hearthstone Senior Communities, INC. | Organization | 5% or Greater Indirect Ownership Interest | 100% | 04/01/2009 |
| Tarpon Rehabilitation Center, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2009 |
| Consulting Support Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/28/2011 |
| Consulting Support Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Facility Support Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/13/2010 |
| Facility Support Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Garner, Alvin | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2009 |
| Jaffe, Howard | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2009 |
| Joseph, Patricia | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/20/2021 |
| Joseph, Patricia | Individual | ADP of the SNF | NOT APPLICABLE | 04/20/2021 |
| Kane Financial Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/06/2012 |
| Kane Financial Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Mattern, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/21/2021 |
| Mattern, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 12/21/2021 |
| Rombold, Lori | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2009 |
| Select Rehabilitation, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/19/2016 |
| Themis Health Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2009 |
| Themis Health Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Wyatt, Brian | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2009 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Peninsula Health Center by Harborview | 1.8 mi | Tarpon Springs, FL | ★★★☆☆ | 3/5 | |
| Aviata at the Palms | 4.7 mi | Palm Harbor, FL | ★☆☆☆☆ | 1/5 | abuse |
| St Mark Village | 5.3 mi | Palm Harbor, FL | ★★★★★ | 5/5 | |
| Oakpark Health and Rehabilitation Center | 6.2 mi | Palm Harbor, FL | ★★★☆☆ | 2/5 | |
| Trinity Regional Rehab Center | 6.5 mi | Trinity, FL | ★☆☆☆☆ | 1/5 | abuse |
| Aspire at Ridge Haven | 6.8 mi | New Port Richey, FL | ★★★☆☆ | 3/5 | |
| Life Care Center of New Port Richey | 6.9 mi | New Port Richey, FL | ★★★★☆ | 3/5 | |
| Aviata at Countryside | 7.3 mi | Palm Harbor, FL | ★★★☆☆ | 3/5 | |
| Southern Pines Nursing Center | 7.7 mi | New Port Richey, FL | ★★☆☆☆ | 2/5 | |
| Madison Pointe Care Center | 7.8 mi | New Port Richey, FL | ★★★☆☆ | 2/5 | abuse |
| Nursing & Rehabilitation Center of New Port Richey | 7.8 mi | New Port Richey, FL | ★☆☆☆☆ | 2/5 | |
| Palm Garden of Clearwater | 8.0 mi | Clearwater, FL | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105280.