Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-02-21At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 94.7% | Latest inspection | 2025-01-30 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 37.0 points
Total nurse staffing
Facility: 3.31 hours/day
RN staffing
Facility: 0.36 hours/day
Staff turnover
Facility: 58.3%
Latest health deficiencies
Facility: 5 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 37.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.31 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.36 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 58.3% | 50.7% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-01-30
5 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
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 2025-02-21Tag 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 2025-02-21Tag 0677 · Severity D
Provide 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 2025-02-21Tag 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 2025-02-212022-12-08
8 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
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 2023-01-07Tag 0847 · Severity E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2023-01-07Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-01-07Tag 0919 · Severity E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-01-07Tag 0656 · Severity D
Develop 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 2023-01-07Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-07Tag 0741 · Severity D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-07Tag 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 2023-01-072021-04-09
5 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-05-09Tag 0656 · Severity D
Develop 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 2021-05-09Tag 0761 · Severity D
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 2021-05-09Staffing composition
2.06 hours/dayNurse aide
0.88 hours/dayLPN
0.36 hours/dayRN
- Total staffing
- 3.31 hours/day
- County median
- 3.51 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.09 hours/day
- Staff turnover
- 58.3%
- RN turnover
- 78.9%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.0 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.0 per 1,000 dayssimilarFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
6.8%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
5.0%worseFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
22.7%worseFlorida: 7.0% · County: 7.0%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
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 turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use
Facility Details
- County
- Pinellas County
- Certified beds
- 120
- Average daily residents
- 113.6
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1981-11-02
- CCN
- 105398
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.06406 |
| Lpn hours | 0.87758 |
| Rn hours | 0.36338 |
| Reported total hours | 3.30502 |
| Weekend total hours | 3.08775 |
| Weekend rn hours | 0.1449 |
| Adjusted total hours | 3.64022 |
| Total turnover percent | 58.3 |
| Rn turnover percent | 78.9 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$4,147.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-01-30 | Fine | $4,147.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
5Health citations
14Fire 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
| Name | Role | Share |
|---|---|---|
| TIERRA PINES HOLDCO LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GABRIEL LIVING CENTER, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| LCE PARTNERS LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| FRIEDMAN, LEOPOLD | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GUTMAN, SAMUEL | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HICKS, MARQUITA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHAH, NILAMBEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STANLEY, AGNES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILDES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WOOTEN, CONSTANCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| SHAH, NILAMBEN | ADP OF THE SNF | NOT APPLICABLE |
| WILDES, DONNA | ADP OF THE SNF | NOT APPLICABLE |
| WOOTEN, CONSTANCE | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology