Tag 0851 · Severity F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Deficient, Provider has date of correction 2026-01-112851 Tampa Rd, Palm Harbor, FL 34684
(727) 787-4777 · Aston Health
| Ownership | For profit - Limited Liability company | Certified beds | 180 |
|---|---|---|---|
| Estimated occupancy | 93.8% | Latest inspection | 2025-12-11 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 69.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.41 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.58 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 55.8% | 50.7% | 41.8% |
| Latest health deficiencies | 13 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Deficient, Provider has date of correction 2026-01-11Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-11Ensure 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 2026-01-11Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2026-01-11Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-01-11Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2026-01-11Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-01-11Immediately 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 2026-01-11Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2026-01-11PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-01-11Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-11Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-11Immediate-jeopardy citations: 0
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-09-02Coordinate 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 2023-09-02Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-02Implement 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 · Deficient, Provider has date of correction 2023-09-02Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-09-02Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-09-10Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-09-10Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-09-10Ensure 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 2021-09-10Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-09-10Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.07556 |
| Lpn hours | 0.75452 |
| Rn hours | 0.57549 |
| Reported total hours | 3.40557 |
| Weekend total hours | 3.16063 |
| Weekend rn hours | 0.47001 |
| Adjusted total hours | 3.51334 |
| Total turnover percent | 55.8 |
| Rn turnover percent | 65.7 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| OAKPARK REHAB HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BP OAKPARK TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| LF OAKPARK TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| WILDES, DONNA | CORPORATE OFFICER | NOT APPLICABLE |
| BERARD, LORI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DILELLA, VINCENT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FERRONE, KAREN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| REYNARD-SURIANO, SU | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILDES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| DILELLA, VINCENT | ADP OF THE SNF | NOT APPLICABLE |
| REYNARD-SURIANO, SU | ADP OF THE SNF | NOT APPLICABLE |
| WILDES, DONNA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology