Deficiency Index

Clearwater Center

Clearwater, Florida · CCN 105274

19 surveys since 2010. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
89
Surveys
19
Harm or worse
8
Immediate jeopardy
8
The record, 2010–2024
’10’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
109
Ownership
Non profit - Corporation
Chain
HEARTHSTONE SENIOR COMMUNITIES
County
Pinellas
Medicare-certified since
1973

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 43 not-for-profit facilities of 100–127 beds in Florida.

Last survey on record

Feb 21, 2024

992 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.103.59
Registered-nurse hours per resident day0.60—
Annual nurse turnover40.2%37.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$76,496 across 1 penalty
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K313.6%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1254.5%E418.2%F313.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 22 of the 89 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5852×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5501×

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

  • F5541×

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

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

From the most serious findings on record at Clearwater Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF695Feb 21, 2024

    Based on observations, interviews, and record review the facility failed to provide respiratory care and services for tracheostomy dependent residents according to professional standards of practice for four residents (#14, #15, #16, and #19) out of five residents with a tracheostomy. On [DATE] a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. The grievance process was not followed through by the facility to a resolution for the resident. On [DATE] Resident #15 requested his tracheostomy to be suctioned. The certified nursing assistant (CNA) notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. […]

  • Immediate jeopardy, patternF695Feb 21, 2024

    Based on observations, interviews, and record review the facility failed to provide respiratory care and services for tracheostomy dependent residents according to professional standards of practice for four residents (#14, #15, #16, and #19) out of five residents with a tracheostomy. On [DATE] a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. The grievance process was not followed through by the facility to a resolution for the resident. On [DATE] Resident #15 requested his tracheostomy to be suctioned. The certified nursing assistant (CNA) notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. […]

  • Immediate jeopardy, patternF726Feb 21, 2024

    Based on observations, interviews, and record review, the facility failed to ensure the nursing staff was competent to provide appropriate tracheostomy care, respond to resident's request for tracheostomy suctioning, and document tracheostomy care for four residents (#14, #15, #16, and #19) out of five residents reviewed for tracheostomy care. On [DATE] a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. On [DATE] Resident #15 requested his tracheostomy to be suctioned. The CNA notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. A code was called, CPR initiated with no evidence the airway was cleared prior to providing breathes, the resident was transported to the hospital where he expired. […]

  • Immediate jeopardy, patternF726Feb 21, 2024

    Based on observations, interviews, and record review, the facility failed to ensure the nursing staff was competent to provide appropriate tracheostomy care, respond to resident's request for tracheostomy suctioning, and document tracheostomy care for four residents (#14, #15, #16, and #19) out of five residents reviewed for tracheostomy care. On 3/22/24 a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. On 3/24/24 Resident #15 requested his tracheostomy to be suctioned. The CNA notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. A code was called, CPR initiated with no evidence the airway was cleared prior to providing breathes, the resident was transported to the hospital where he expired. […]

  • Immediate jeopardy, patternF835Feb 21, 2024

    Based on observations, interviews, and record review the facility administration failed to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident related to residents with a tracheostomy not being cared for in a safe and sanitary manner for four residents (#14, #15, #16, and #19) out of five residents sampled. On [DATE] a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. The grievance process was not followed through by the facility to a resolution for the resident. On [DATE] Resident #15 requested for his tracheostomy to be suctioned. The CNA notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. […]

Read 22 findings in full →The most serious and the most recent: 22 of 89 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 21, 2024Standard and complaint23 findings · 6 harm
  • Apr 12, 2023Complaint3 findings
  • Sep 16, 2022Complaint3 findings · 2 harm
  • Dec 3, 2021Standard3 findings
  • Mar 13, 2020Standard3 findings
  • Aug 23, 2019Complaint1 finding
  • Jan 25, 2019Standard3 findings
  • Feb 21, 2018Complaint1 finding
Show the 11 earlier surveys
  • Dec 29, 2017Complaint1 finding
  • Oct 26, 2017Standard10 findings
  • Jun 6, 2017Complaint1 finding
  • Aug 31, 2016Standard2 findings
  • Aug 14, 2015Standard8 findings
  • Jun 6, 2014Standard3 findings
  • Apr 26, 2013—6 findings
  • Apr 4, 2012—2 findings
  • Mar 3, 2012—7 findings
  • Feb 10, 2011—6 findings
  • Nov 9, 2010—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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