Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-112770 Regency Oaks Blvd, Clearwater, FL 33759
(727) 791-1500 · Healthpeak Properties, INC.
| Ownership | For profit - Limited Liability company | Certified beds | 60 |
|---|---|---|---|
| Estimated occupancy | 91.8% | Latest inspection | 2024-12-11 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 103.5 points | 74.0 points | 38.5 points |
| Total nurse staffing | 4.28 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.97 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 39.7% | 50.7% | 41.8% |
| Latest health deficiencies | 3 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-11Ensure 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 2025-01-11Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-01-11Immediate-jeopardy citations: 5
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-01-01Timely 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 2023-01-01Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-01-01Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-01Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2023-01-01Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-01-01Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-01Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-01-01Procure 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 2023-01-01Immediate-jeopardy citations: 0
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 2021-07-04Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-04Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-04Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-07-04Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.62361 |
| Lpn hours | 0.68876 |
| Rn hours | 0.96977 |
| Reported total hours | 4.28213 |
| Weekend total hours | 3.96723 |
| Weekend rn hours | 0.88731 |
| Adjusted total hours | 4.40985 |
| Total turnover percent | 39.7 |
| Rn turnover percent | 47.4 |
| 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.
5
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide care or services that was trauma informed and/or culturally competent.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
| Name | Role | Share |
|---|---|---|
| HCP MA3 GP HOLDING, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP VENTURES II TRS LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| CHENG, PATRICK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| RUSSO, FRANK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BOLDEN, KYLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MATHEW, DANI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WEAVER, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HCP MA3, LP | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE |
| HCP PARTNERS LP | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE |
| BLACKROCK INC | ADP OF THE SNF | NOT APPLICABLE |
| CCRC PROPCO VENTURES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP MA3, LP | ADP OF THE SNF | NOT APPLICABLE |
| HCP PARTNERS LP | ADP OF THE SNF | NOT APPLICABLE |
| HCP S-H 2014 MEMBER LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP VENTURES II PARTNER LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP/LS 2011 REIT, LLC | ADP OF THE SNF | NOT APPLICABLE |
| HEALTHPEAK OP LLC | ADP OF THE SNF | NOT APPLICABLE |
| HEALTHPEAK PROPERTIES INC | ADP OF THE SNF | NOT APPLICABLE |
| JANUS LIVING OP LLC | ADP OF THE SNF | NOT APPLICABLE |
| JANUS LIVING, INC. | ADP OF THE SNF | NOT APPLICABLE |
| JANUS MEMBER, LLC | ADP OF THE SNF | NOT APPLICABLE |
| LIFE CARE SERVICES LLC | ADP OF THE SNF | NOT APPLICABLE |
| OCEAN ACQUISITION I LLC | ADP OF THE SNF | NOT APPLICABLE |
| STATE STREET CORPORATION | ADP OF THE SNF | NOT APPLICABLE |
| VANGUARD GROUP INC | ADP OF THE SNF | NOT APPLICABLE |
| BOLDEN, KYLE | ADP OF THE SNF | NOT APPLICABLE |
| MATHEW, DANI | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology