Deficiency Index

Oakpark Health and Rehabilitation Center

Palm Harbor, Florida · CCN 105708

17 surveys since 2011. The first finding at harm level was recorded in 2021.

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

Citations on record
72
Surveys
17
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/17

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

The facility

Certified beds
180
Ownership
For profit - Limited Liability company
Chain
ASTON HEALTH
County
Pinellas
Medicare-certified since
1990

CMS ratings

Overall
3
Health inspection
2
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 150 for-profit facilities with 128 or more beds in Florida.

Last survey on record

Jan 12, 2026

301 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 day3.413.63
Registered-nurse hours per resident day0.58—
Annual nurse turnover55.8%41.4%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1565.2%E730.4%F14.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 72 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7252×

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5571×

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  • F5801×

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

In the surveyor’s words

From the most serious findings on record at Oakpark Health and Rehabilitation Center, in the surveyor’s own words.

  • Actual harm, isolatedF684Jan 29, 2021

    Based on observation, interview and record review the facility failed to ensure one resident (Resident #1) of three residents sampled received care and services to ensure intact skin and to prevent a pressure wound from forming under a leg immobilizer. Resident #1 sustained a pressure related wound measuring 6.83 cm x 3.46 cm x 1 cm when licensed staff failed to obtain a physician order on admission for care of an immobilizer to the resident's leg. Resident #1 was last observed for skin integrity under the immobilizer on 12/29/20 when a wound was resolved on the right lateral calf. No staff observed the right leg under the immobilizer from 12/30/20 until 1/12/21 when a strong odor was noticed by a CNA (Certified Nursing Assistant) providing care. […]

  • No harm, potential for more than minimal, widespreadF851Dec 11, 2025

    Based on interview and record review, the facility failed to provide a sufficient number of certified nurse assistants (CNAs) for four night shifts (4/6, 4/12, 4/26, and 6/21) of the twenty-seven night shifts reviewed. Findings:An interview was conducted with Resident #93 on 12/08/2025 at 11:18 a.m. The resident stated they must wait awhile for assistance to get a brief changed. The resident stated the staff do not bring water unless the residents ask for water. The resident stated they asked to have water a week ago at approximately 9:00 pm and it took until 2:00 a.m. to receive it. An interview was conducted with Staff B, Registered Nurse (RN) on 12/09/2025 at 4:25 p.m. She stated each unit usually has six Certified Nursing Assistants (CNAs) and two nurses. […]

  • No harm, potential for more than minimal, patternF686Dec 11, 2025

    Based on observations, record reviews and interviews, the facility failed to ensure skin checks were completed for three Residents (# 6, #14, #35) out of eight residents sampled for skin integrity. Findings included: 1. On 12/09/2025 11:30 a.m. and at 3:00 p.m. Resident # 14 was observed lying down in bed with her call light within reach. She was observed groomed with no odors and no signs of distress. Review of an admission Record dated 12/11/2025 revealed Resident # 14 was admitted to the facility on [DATE] with diagnoses to include but not limited to Parkinson's disease without dyskinesia, without mention of fluctuations, bipolar disorder, current episode mixed, moderate, major depressive disorder, recurrent, moderate. […]

  • No harm, potential for more than minimal, patternF689Dec 11, 2025

    Based on interviews and record reviews, the facility failed to ensure post fall interventions were implemented to prevent future falls for four residents (#20, #78, #138, #149) out of seven residents sampled for falls. Findings included: 1) Review of a facility provided incident log showed Resident #138 had falls on 11/26/25 and 12/8/25. Review of admission Records showed Resident #138 was admitted on [DATE] with diagnoses including essential sarcopenia, other symptoms and signs involving the musculoskeletal system, paroxysmal atrial fibrillation and syncope and collapse. Review of Resident #138's progress notes showed: 11/26/25 3:25 p.m. Alerted by CNA [certified nursing assistant] that Pt [patient] was on the floor. Pt observed laying flat on his back, on side of bed by window. […]

  • No harm, potential for more than minimal, patternF725Dec 11, 2025

    Based on observations, interviews, and record review, the facility failed to provide sufficient staffing to meet the needs of the residents related to dining and Activities of Daily Living (ADL) assistance with meals for three residents (#134, #50, and #168) observed in the dining room during three days (12/8/2025, 12/9/2025, and 12/10/2025) of three days dining was observed. Findings included: On 12/8/2025 at 12:50 p.m. the main dining room was observed during the lunch meal service. The main dining room revealed two sections, one large for residents who eat without assistance, and a smaller section where residents are assisted with their meals from staff. […]

Read 21 findings in full →The most serious and the most recent: 21 of 72 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 12, 2026Complaint1 finding
  • Dec 11, 2025Standard and complaint12 findings
  • Aug 2, 2023Standard5 findings
  • Mar 4, 2022Complaint1 finding
  • Aug 13, 2021Standard and complaint6 findings
  • Jan 29, 2021Complaint1 finding · 1 harm
  • Aug 20, 2020Complaint2 findings
  • Nov 22, 2019Standard and complaint2 findings
Show the 9 earlier surveys
  • Sep 14, 2018Standard7 findings
  • Aug 7, 2018Complaint1 finding
  • Jul 28, 2017Standard5 findings
  • Apr 8, 2016Standard5 findings
  • Dec 18, 2014Standard3 findings
  • Dec 20, 2013—10 findings
  • Sep 7, 2012—5 findings
  • Mar 1, 2012—1 finding
  • Jun 23, 2011—5 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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