Deficiency Index

Regency Oaks Health Center

Clearwater, Florida · CCN 105744

11 surveys since 2011. 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
46
Surveys
11
Harm or worse
5
Immediate jeopardy
5
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file8/11

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

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
HEALTHPEAK PROPERTIES, INC.
County
Pinellas
Medicare-certified since
1991

CMS ratings

Overall
2
Health inspection
1
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=16, floor 20).

Last survey on record

Dec 11, 2024

698 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 day4.283.73
Registered-nurse hours per resident day0.97—
Annual nurse turnover39.7%45.7%

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 jeopardyJ531.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD956.3%E212.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 46 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6101×

    Respond appropriately to all alleged violations.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600Dec 2, 2022

    Based on observation, review of the medical record, incident logs, policy and procedure review, interviews with administration, nursing and therapy staff, the resident's physician, and the resident's representatives, the facility failed to implement a systematic process to carry out their abuse policy for one Resident #17, who was cognitively intact and dependent on staff for incontinent care of two residents reviewed for abuse. The facility failed to take actions to report, thoroughly investigate, and take corrective action to prevent abuse to its residents. […]

  • Immediate jeopardy, isolatedF609Dec 2, 2022

    Based on record review, interviews with the Nursing Home Administrator, the Director of Nursing, nursing staff, the resident's physician, and review of clinical and medical records, policies, and procedures, it was determined the facility failed to provide a systematic process to ensure residents were free from abuse and trauma for one resident (#17) of two residents reviewed for abuse by failing to report an allegation of abuse within the required timeframes to the required state agencies and authorities. On 11/24/2022 around 2:56 a.m. Resident #17 told Staff C, Certified Nursing Assistant (CNA) to stop performing incontinent care. The staff member refused to stop after being told multiple times no. On 11/24/2022 between 7:00 a.m. and 8:30 a.m. […]

  • Immediate jeopardy, isolatedF610Dec 2, 2022

    Based on review of the medical record, incident logs, policy and procedure review, interviews with administration, nursing staff, the resident's physician, and the resident and the resident's representative, it was determined the facility failed to provide a systematic process to implement their abuse policy for one resident (#17) of two residents reviewed for abuse. The facility failed to thoroughly investigate to determine the root cause of a reported allegation of abuse and failed to remove staff alleged to perpetrate the abuse to ensure the safety of the resident involved and ensure all facility residents would remain safe from a similar incident. On 11/24/2022 around 2:56 a.m. Resident #17 told Staff C, Certified Nursing Assistant to stop performing incontinent care. […]

  • Immediate jeopardy, isolatedF699Dec 2, 2022

    Based on observation, review of the medical record, incident logs, policy and procedure review, interviews with administration, nursing staff, Resident #17, the resident's physician, and the resident's representative, the facility failed to follow professional standards of practice to maintain the resident's highest practical and psychosocial well-being by not ensuring their Behavioral Health Services for Trauma Informed Care was followed for one resident (#17) of two residents reviewed for abuse. The facility failed to take actions and respond to a family member and cognitively intact resident's request for female caregivers only. […]

  • Immediate jeopardy, isolatedF835Dec 2, 2022

    Based on record review, interviews with nursing and administrative staff, the resident and the resident's physician, the resident's representative, the resident's psychiatric practitioner, and the facility's Medical Director, the facility Administration failed to use its resources effectively to lead and direct the overall operations of the facility in accordance with resident needs, regulations, and company policies related to abuse for one resident (#17) of two residents reviewed for abuse. On 11/24/2022, Resident #17, an elderly female who was cognitively intact and dependent on staff for incontinent care and services, reported a male Certified Nursing Assistant (Staff C, CNA) performed incontinence care that she had repeatedly refused. […]

Read 20 findings in full →The most serious and the most recent: 20 of 46 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 11, 2024Standard3 findings
  • Dec 2, 2022Standard9 findings · 5 harm
  • Jun 4, 2021Standard4 findings
  • Sep 6, 2019Standard1 finding
  • May 24, 2018Standard and complaint8 findings
  • May 6, 2016Standard5 findings
  • Jan 23, 2015Standard4 findings
  • Jan 22, 2014—2 findings
Show the 3 earlier surveys
  • Nov 22, 2013—2 findings
  • Aug 10, 2012—5 findings
  • May 19, 2011—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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