Tarpon Bayou Center
Tarpon Springs, Pinellas County, Florida · CCN 105280 · Non-profit (Corporation) · part of Hearthstone Senior Communities (8 facilities, chain average 1.9 stars)
CMS rates Tarpon Bayou Center 1 of 5 overall as of August 2026. 114 certified beds, 98 residents a day on average. 21 citations on record from the current inspection cycles; 1 fine totalling $10,170.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 1 of 5 |
Staffing
| Total nurse staffing | 3.15998 hours per resident per day |
|---|---|
| Registered nurses | 0.56239 hours per resident per day |
| Weekend total | 3.03804 hours per resident per day |
| Nursing staff turnover | 23.1% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-04-11 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-05-10 |
| 2024-04-11 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-10 |
| 2024-04-11 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-10 |
| 2024-04-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-10 |
| 2024-04-11 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-10 |
| 2024-04-11 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-10 |
| 2024-04-11 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-10 |
| 2024-04-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-04-11 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-10 |
| 2022-02-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-02-23 |
| 2020-11-06 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-12-04 |
| 2020-11-06 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-01-21 |
| 2020-11-06 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-01-21 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-11 | Fine | $10,170 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Tarpon Rehabilitation Center, LLC Organization | 5% or greater direct ownership interest | 100% | 2009-04-01 |
| Hearthstone Senior Communities, Inc. Organization | 5% or greater indirect ownership interest | 100% | 2009-04-01 |
| Consulting Support Services, LLC Organization | adp of the snf | — | 2025-03-21 |
| Facility Support Company, LLC Organization | adp of the snf | — | 2025-03-21 |
| Kane Financial Services, LLC Organization | adp of the snf | — | 2025-03-21 |
| Select Rehabilitation, LLC Organization | adp of the snf | — | 2016-08-19 |
| Themis Health Management, LLC Organization | adp of the snf | — | 2025-03-21 |
| Consulting Support Services, LLC Organization | operational/managerial control | — | 2011-06-28 |
| Facility Support Company, LLC Organization | operational/managerial control | — | 2010-12-13 |
| Kane Financial Services, LLC Organization | operational/managerial control | — | 2012-06-06 |
| Themis Health Management, LLC Organization | operational/managerial control | — | 2009-09-01 |
| Joseph, Patricia Individual | adp of the snf | — | 2021-04-20 |
| Mattern, Andrea Individual | adp of the snf | — | 2021-12-21 |
| Garner, Alvin Individual | corporate officer | — | 2009-04-01 |
| Jaffe, Howard Individual | corporate officer | — | 2009-04-01 |
| Rombold, Lori Individual | corporate officer | — | 2009-04-01 |
| Wyatt, Brian Individual | corporate officer | — | 2009-04-01 |
| Joseph, Patricia Individual | operational/managerial control | — | 2021-04-20 |
| Mattern, Andrea Individual | operational/managerial control | — | 2021-12-21 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Tarpon Bayou Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pinellas County.