Tierra Pines Center
7380 Ulmerton Rd, Largo, FL 33771 · Pinellas County · 120 certified beds · avg 114 residents/day · certified since Nov 2, 1981
Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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 (18)
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 |
|---|---|---|
| Jan 30, 2025 | 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. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 30, 2025 | D · Potential for harm, one-off | 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. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 15, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Oct 31, 2023 | 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. · from a complaint |
| Dec 8, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 8, 2022 | E · Potential for harm, repeated | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Dec 8, 2022 | E · Potential for harm, repeated | 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. |
| Dec 8, 2022 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Dec 8, 2022 | 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. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 9, 2021 | D · Potential for harm, one-off | 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 9, 2021 | 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. |
| Apr 9, 2021 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2022 | 8 | 0 | E |
| 2023 | 1 | 0 | E |
| 2024 | 1 | 0 | E |
| 2025 | 5 | 0 | E |
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 $4,147.
| Date | Type | Amount / length |
|---|---|---|
| Jan 30, 2025 | Fine | $4,147 |
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) | 3.64 | 4.03 | 3.95 | bottom 27% in Florida; bottom 44% in the U.S. |
| Registered Nurse hours | 0.40 | 0.76 | 0.69 | bottom 8% in Florida; bottom 22% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.68 | 3.50 | bottom 34% in Florida; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.53 | 0.48 | bottom 3% in Florida; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 58.3 | 41.4 | 45.8 | bottom 11% in Florida; bottom 19% in the U.S. |
| RN turnover (%) | 78.9 | 46.0 | 42.9 | bottom 5% in Florida; bottom 6% 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 3.31, RN 0.36, weekend 3.09. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Friedman, Leopold | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/15/2023 |
| Gabriel Living Center, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/15/2023 |
| Gutman, Samuel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2021 |
| Lce Partners LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2021 |
| Tierra Pines Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/15/2023 |
| Aston Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Hicks, Marquita | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/29/2025 |
| Shah, Nilamben | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/03/2025 |
| Shah, Nilamben | Individual | ADP of the SNF | NOT APPLICABLE | 11/03/2025 |
| Stanley, Agnes | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/25/2021 |
| Wildes, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Wildes, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| Wooten, Constance | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/20/2025 |
| Wooten, Constance | Individual | ADP of the SNF | NOT APPLICABLE | 10/29/2025 |
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 do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "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 |
|---|---|---|---|---|---|
| Sabal Palms Health & Rehabilitation | 1.1 mi | Largo, FL | ★★☆☆☆ | 2/5 | |
| East Bay Rehabilitation Center | 1.5 mi | Clearwater, FL | ★★★★☆ | 3/5 | |
| Aviata at Bryan Dairy | 2.1 mi | Largo, FL | ★☆☆☆☆ | 1/5 | abuse |
| Palm Garden of Largo | 2.3 mi | Largo, FL | ★★☆☆☆ | 1/5 | abuse |
| Palm Garden of Pinellas | 2.9 mi | Largo, FL | ★☆☆☆☆ | 1/5 | |
| Gulf Shore Care Center | 3.1 mi | Pinellas Park, FL | ★★★☆☆ | 3/5 | |
| Wrights Healthcare and Rehabilitation Center | 3.7 mi | Seminole, FL | ★★★★☆ | 3/5 | |
| Pinellas Park FL Opco, LLC | 3.9 mi | Pinellas Park, FL | ★☆☆☆☆ | 1/5 | abuse |
| Aviata at Seminole | 4.2 mi | Seminole, FL | ★☆☆☆☆ | 1/5 | |
| Vivo Healthcare Gateway | 4.2 mi | Pinellas Park, FL | ★★☆☆☆ | 2/5 | |
| Belleair Health Care Center | 4.5 mi | Clearwater, FL | ★★★★☆ | 4/5 | |
| Harbourwood Post-Acute and Rehabilitation Center | 4.6 mi | Clearwater, FL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105398.