For-profit

Hillside Health and Rehabilitation Center

38220 Henry Dr, Zephyrhills, FL 33540

(813) 788-7114 · Aston Health

3CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
3 of 5Overall
2 of 5Health inspections
2 of 5Staffing
5 of 5Resident quality
OwnershipFor profit - IndividualCertified beds120
Estimated occupancy85.9%Latest inspection2026-05-20

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
similar
Health-inspection score
Facility: 84.0 points
worse
Total nurse staffing
Facility: 3.54 hours/day
similar
RN staffing
Facility: 0.50 hours/day
worse
Staff turnover
Facility: Not reported by CMS
unavailable
Latest health deficiencies
Facility: 15 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating3 of 53 of 53 of 5
Health-inspection score84.0 points54.5 points38.5 points
Total nurse staffing3.54 hours/day3.58 hours/day3.63 hours/day
RN staffing0.50 hours/day0.57 hours/day0.62 hours/day
Staff turnoverNot reported by CMS44.3%41.8%
Latest health deficiencies15 deficiencies8.5 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-05-20
15 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0761 · Severity F

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0552 · Severity E

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0584 · Severity E

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 · Deficient, Provider has date of correction 2026-06-20

Tag 0645 · Severity E

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0812 · Severity E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0580 · Severity D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0641 · Severity D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0644 · Severity D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0679 · Severity D

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0684 · Severity D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0693 · Severity D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0697 · Severity D

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0759 · Severity D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0825 · Severity D

Provide or get specialized rehabilitative services as required for a resident.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-20

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2026-06-20
2025-08-21
11 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0812 · Severity F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0695 · Severity E

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0755 · Severity E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0757 · Severity E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0880 · Severity E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0550 · Severity D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0689 · Severity D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0694 · Severity D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-21

Tag 0756 · Severity D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-09-21
2023-08-16
5 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0759 · Severity E

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-09-11

Tag 0554 · Severity D

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-09-14

Tag 0684 · Severity D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-11

Tag 0688 · Severity D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-11

Tag 0697 · Severity D

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-11

Staffing composition

2.14 hours/dayNurse aide
0.90 hours/dayLPN
0.50 hours/dayRN
Total staffing
3.54 hours/day
County median
3.58 hours/day
Florida median
3.63 hours/day
Weekend total
3.18 hours/day
Staff turnover
Not reported by CMS
RN turnover
Not reported by CMS

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

1.8 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.6 per 1,000 days
20250101-20251231

Emergency-department visits

0.6 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days
20250101-20251231

Falls with major injury

1.0%betterFlorida: 2.2% · County: 1.9%
2025Q2-2026Q1

Pressure ulcers

6.2%worseFlorida: 4.2% · County: 5.1%
2025Q2-2026Q1

Urinary tract infections

0.0%unavailableFlorida: 0.0% · County: 0.3%
2025Q2-2026Q1

Antipsychotic medication use

7.3%similarFlorida: 7.0% · County: 5.9%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  2. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  3. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
Pasco County
Certified beds
120
Average daily residents
103.1
Ownership
For profit - Individual
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1988-02-04
CCN
105599

Staffing Data

Reported measureValue
Nurse aide hours2.14273
Lpn hours0.89848
Rn hours0.50207
Reported total hours3.54328
Weekend total hours3.17942
Weekend rn hours0.31586
Adjusted total hours3.80991
Total turnover percentNot reported by CMS
Rn turnover percentNot reported by CMS
Administrators left0

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$0.00Total fines
0Number of fines
0Payment denials

No matching penalties in the supplied CMS records.

Totals reflect the supplied CMS records, not a lifetime total.

Citations

15Health citations
6Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

0

Ownership & Operators

NameRoleShare
HILLSIDE REHAB HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BP HILLSIDE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
LF HILLSIDE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
BLACK, REAGANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HARVEY, LORETTAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAYNES, TERRYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MERCADO, RONNIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILDES, DONNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FRIEDMAN, LEOPOLDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
ASTON HEALTHCARE LLCADP OF THE SNFNOT APPLICABLE
BLACK, REAGANADP OF THE SNFNOT APPLICABLE
MERCADO, RONNIELADP OF THE SNFNOT APPLICABLE
WILDES, DONNAADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology