Tarpon Bayou Center
Tarpon Springs, Florida · CCN 105280
20 surveys since 2010, 3 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 87
- Surveys
- 20
- Harm or worse
- 3
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 114
- Ownership
- Non profit - Corporation
- Chain
- HEARTHSTONE SENIOR COMMUNITIES
- County
- Pinellas
- Medicare-certified since
- 1974
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 somewhat more weighted findings than its peer group.
Weighted by harm level, against 43 not-for-profit facilities of 100–127 beds in Florida.
Last survey on record
Apr 11, 2024
942 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.16 | 3.59 |
| Registered-nurse hours per resident day | 0.56 | — |
| Annual nurse turnover | 23.1% | 37.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $10,170 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1770.8% | E416.7% | F312.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F8422×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F8672×
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 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.
In the surveyor’s words
From the most serious findings on record at Tarpon Bayou Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF867Apr 11, 2024
Based on observations, interviews, record review, facility policy review and the Plan of Correction review, the facility failed to ensure it had a functioning Quality Assurance and Performance Improvement (QAPI) Program. The facility was actively involved in the creation, implementation and monitoring of the Plan of Correction for deficient practice during a recertification and complaint survey conducted on 04/08/2024 to 04/11/2024 and was cited at F657, F677, F690, F758, F759, F842, and F880. On 06/03/2024 to 06/04/2024 a revisit survey was conducted and the facility was recited at F657, F677, F690, F758, F759, F842, and F880. The facility had developed a Plan of Correction with a completion date of 05/10/2024. Findings include: 1. […]
- No harm, potential for more than minimal, widespreadF867Apr 11, 2024
Based on observations, interviews, record review, facility policy review and the Plan of Correction review, the facility failed to ensure it had a functioning Quality Assurance and Performance Improvement (QAPI) Program. The facility was actively involved in the creation, implementation and monitoring of the Plan of Correction for deficient practice during a recertification and complaint survey conducted on 04/08/2024 to 04/11/2024 and was cited at F657, F677, F690, F758, F759, F842, and F880. On 06/03/2024 to 06/04/2024 a revisit survey was conducted and the facility was recited at F657, F677, F690, F758, F759, F842, and F880. The facility had developed a Plan of Correction with a completion date of 05/10/2024. Findings include: 1. […]
- No harm, potential for more than minimal, widespreadF880Apr 11, 2024
Based on observation, record review and interview, the facility failed to ensure hand hygiene was provided before and after meal service on four (100, 200, 300 and Melody-secured) of four units, and the facility failed to ensure hand hygiene was available after toileting for one unit (Melody-secured) out of four units observed. Findings included: An observation on 04/08/24 at 12:00 p.m., revealed a hydration cart was being utilized down 400 hallway. The staff provided hydration prior to meal but did not provide hand hygiene. An observation on 04/08/24 at approximately 12:30 p.m., the tray cart was delivered to 400 hallway. Staff were observed knocking on Residents' doors and delivering trays to each Resident. No hand hygiene was observed being conducted at tray delivery service. […]
- No harm, potential for more than minimal, widespreadF908Apr 11, 2024
Based on observations, staff interviews and facility record review, the facility failed to ensure the kitchen's low temperature dish washing machine was operating effectively to include provision of correct chemical sanitizer during one of four days observed (4/8/2024). Findings included: On 4/8/2024 at 9:10 a.m. the main kitchen was toured with the Dietary Manager. The Dietary Manager was asked if she and her staff were at the time operating the dish washing machine. She confirmed they were and she noted the machine was a Low Temperature dish washing machine and operated with wash temperature expectation of 120 degrees F (Fahrenheit). and above, and with rinse temperature expectation of 120 degrees F. and above. […]
- No harm, potential for more than minimal, patternF584Apr 11, 2024
Based on observations, record reviews, and interviews, the facility failed to maintain a homelike environment on one (300) of four units and failed to ensure one of two resident patios was not used for storage of facility housekeeping equipment, sunshade, rolled up mattresses, and an unused bed frame. Findings included: On 4/8/24 at 10:02 a.m., Resident #103 reported to this writer that the unit was cold. The observation of a hallway thermostat read 71 Fahrenheit (F). An observation of Resident #103's room revealed a bedside dresser without drawers beside the resident's bed, the window blinds in the window of room the room were broken, the string used to maneuver the blinds to an open/close position had been cut/frayed. […]
Read 23 findings in full →The most serious and the most recent: 23 of 87 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 11, 2024Standard19 findings
- Jul 13, 2023Complaint3 findings
- Feb 4, 2022Standard1 finding
- Nov 6, 2020Standard4 findings
- Aug 25, 2020Infection control2 findings
- Apr 22, 2020Infection control1 finding
- Jun 4, 2019Complaint2 findings
- Jan 25, 2019Standard5 findings
Show the 12 earlier surveys
- Oct 13, 2017Standard7 findings
- Jul 29, 2016Standard8 findings
- Apr 10, 2015Standard9 findings
- Feb 5, 2015Complaint1 finding
- Aug 1, 2014Complaint1 finding
- Feb 28, 2014Standard3 findings
- Nov 30, 2012—8 findings
- Oct 13, 2012—2 findings
- Jun 29, 2012—3 findings
- Dec 30, 2011—4 findings
- Apr 29, 2011—1 finding
- Dec 1, 2010—3 findings · 3 harm
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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