TARPON BAYOU CENTER

515 CHESAPEAKE DR
TARPON SPRINGS, FL, 34689
7279344629
CCN: 105280
1
Overall
1
Health
4
Staffing
3
Quality
ChainHEARTHSTONE SENIOR COMMUNITIES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (4)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
1ST REHABILITATION OF PORT ST
1128b8
Excluded 2002-09-19
MT ZION MEDICAL REHABILITATION
1128Aa
Excluded 1998-01-31
NEUROMUSCULAR REHABILITATION
1128b8
Excluded 1998-01-20
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
NameRole%
TARPON REHABILITATION CENTER, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
HEARTHSTONE SENIOR COMMUNITIES, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
WYATT, BRIANCORPORATE OFFICERNOT APPLICABLE
GARNER, ALVINCORPORATE OFFICERNOT APPLICABLE
JAFFE, HOWARDCORPORATE OFFICERNOT APPLICABLE
ROMBOLD, LORICORPORATE OFFICERNOT APPLICABLE
JOSEPH, PATRICIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MATTERN, ANDREAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CONSULTING SUPPORT SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FACILITY SUPPORT COMPANY, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KANE FINANCIAL SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
THEMIS HEALTH MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-04-11Fine$10K
Health Deficiencies (24)
2024-04-11 · Health
F
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F758 · Pharmacy Service Deficiencies
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.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
E
F584 · Resident Rights Deficiencies
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.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-07-13 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2022-02-04 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2020-11-06 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F688 · Quality of Life and Care Deficiencies
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.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.12
3.68
RN Hrs/Resident/Day
0.54
0.54
LPN Hrs/Resident/Day
0.61
0.81
CNA Hrs/Resident/Day
1.98
2.33
PT Hrs/Resident/Day
0.09
0.12
Data as of 2026-03-01