Show Inspection Reports
Total health inspections
5
Florida average 4.3
Last Health inspection on Jan 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Pinellas County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Tierra Pines Center
Nursing Home in Pinellas County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Tierra Pines Center
Overview of Tierra Pines Center
Start your wellness journey with Tierra Pines Center, a trusted community located in the scenic setting of Largo, FL, that offers long-term care, short-term rehabilitation, and specialized care. With top-notch care and assistance provided 24/7, the community strives to meet residents’ special needs to ensure a comfortable lifestyle. Residents can feel at ease with the community’s cozy and welcoming environment.
A jam-packed calendar of fun activities and engaging programs is also conducted for residents to remain socially engaged and active. Prioritizing residents’ health, delightful and nutritious meals are also served to satisfy dietary needs and preferences. The community is dedicated to improving residents’ well-being, providing comprehensive care for the finest retirement experience.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.8%
Residents per day (avg)
112
Occupancy rate
94.8%
Residents per day (avg)
112
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
35% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
34% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Privately-owned community
Home revenue
$12.9M
Profit
$3.8M
Privately-owned community
Home revenue
$12.9M
Profit
$3.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.7M
Walk Score: 63 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
CMS Certification Number105398
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Spacious + Welcoming Facility
Cable Tv
Telephone + Internet
Transportation To Medical Appointments
Private + Semi-Private Rooms
Social Activities + Recreational Programs
Fine Restaurant Style Dining
Specific ProgramsWound Care, Short-Term Rehabilitation, Post-Surgical Care, Pain Management, Physical, Occupational + Speech Therapy, Cognitive + Adaptive Therapy, ADL Suite + Strength Training, 24/7 Nursing Care, Therapeutic Recreation, Respite Care, Palliative Care, Social Services
Food DescriptionFine restaurant style dining
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Recreational Activities
Exercise Programs
Health Programs
Types of Care at Tierra Pines Center
Nursing Home
Inspection History
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
5 visits/inspections
Latest inspection
Date
January 30, 2025
Routine26 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Florida average: 19 deficiencies
0 fines
Florida average: 5 fines
Total amount fined: $0.00
Florida average: $11,623.53
0 Legal actions
Florida average: 3 legal actions
Inspection Report Summary for Tierra Pines Center
The most recent inspection on January 30, 2025, found deficiencies related to PASARR screening and care plan incorporation, wound care management, assistance with shaving, and kitchen sanitation monitoring. Earlier inspections showed recurring issues with maintenance of equipment and resident environment, including laundry machines, kitchen cleanliness, damaged wheelchairs, and water damage in resident rooms. Prior reports also cited deficiencies in trauma-informed care, medication administration, infection control, and medication storage. Complaint investigations were not listed in the available reports. The pattern of findings suggests ongoing challenges in both resident care and facility maintenance without a clear trend of improvement or worsening.
Health Inspection History
Inspections
Total health citations
20
Florida average 19.7
Citations per inspection
4
Florida average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 20 citations resulted from standard inspections; 4 of 20 resulted from complaint investigations; and 2 of 20 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Florida averageFlorida average: 0.8
Serious Health citations
0
0
100% better than Florida averageFlorida average: 0.4
0 critical citations
0 serious citations
20 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 30, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 30, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 30, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 30, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 30, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 30, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 30, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 30, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Pinellas County The information below is reported by the Florida Agency for Health Care Administration (AHCA).
Filter by care type
East Bay Rehabilitation Center
CH
Care Homes
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Clearwater
120
89.3%
+6%
4.21
+4%
0
13
3.3
0
114
-
13
-
$14.8M
$6.9M
46.7%
105697
Gulf Shore Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Pinellas Park
120
94.2%
+12%
3.23
-20%
0
15
5.0
0
111
-
52
Gulf Shore Nursing Holdco Llc
$11.6M
$2.7M
23.7%
105978
Tierra Pines Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Largo
120
94.8%
+12%
3.72
-8%
2
20
4.0
0
112
A+
63
Felicione, Theresa
$12.9M
$5.6M
43.2%
105398
Gateway Post-Acute Care Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Pinellas Park
120
92.7%
+10%
-
-
0
28
4.7
0
105
A+
47
Kirby, Ivana
$17.9M
$6.0M
33.8%
105486
Palm Garden of Pinellas
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Largo
120
93.4%
+11%
3.96
-2%
2
30
7.5
2
106
-
51
Mitchell, Sandra
$16.9M
$5.5M
32.5%
105733
Places of interest near Tierra Pines Center
4 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
169
Employees
165
Contractors
4
Staff to resident ratio
1.47:1
0% compared with Florida averageFlorida average ratio: 1.52:1
Avg staff/day
59
Average shift
8.1 hours
0% compared with Florida averageFlorida average: 7.9 hours
Total staff hours (quarter)
43,342
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
1.4%
617 contractor hours this quarter
Medical Director: 2
RN Director of Nursing: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 65 | 0 | 65 | 19,451 | 91 | 100% | 8.7 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,423 | 91 | 100% | 8.6 |
| Registered Nurse | 9 | 0 | 9 | 3,626 | 91 | 100% | 8.2 |
| Dietitian | 21 | 0 | 21 | 2,553 | 90 | 99% | 7.8 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,083 | 64 | 70% | 7.6 |
| Nurse Aide in Training | 12 | 0 | 12 | 1,407 | 78 | 86% | 7.4 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,226 | 78 | 86% | 7.3 |
| Physical Therapy Aide | 4 | 0 | 4 | 976 | 71 | 78% | 7.1 |
| RN Director of Nursing | 1 | 1 | 2 | 730 | 66 | 73% | 6.4 |
| Speech Language Pathologist | 6 | 0 | 6 | 662 | 70 | 77% | 6.3 |
| Dental Services Staff | 1 | 0 | 1 | 540 | 65 | 71% | 8.3 |
| Qualified Social Worker | 4 | 0 | 4 | 483 | 68 | 75% | 6.5 |
| Administrator | 1 | 0 | 1 | 481 | 61 | 67% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 421 | 62 | 68% | 5.8 |
| Occupational Therapy Aide | 1 | 1 | 2 | 291 | 40 | 44% | 7.3 |
| Medical Director | 0 | 2 | 2 | 88 | 65 | 71% | 1.2 |
65 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
100%
21 Dietitian
% of Days
99%
7 Clinical Nurse Specialist
% of Days
70%
12 Nurse Aide in Training
% of Days
86%
7 Respiratory Therapy Technician
% of Days
86%
4 Physical Therapy Aide
% of Days
78%
2 RN Director of Nursing
% of Days
73%
6 Speech Language Pathologist
% of Days
77%
1 Dental Services Staff
% of Days
71%
4 Qualified Social Worker
% of Days
75%
1 Administrator
% of Days
67%
1 Mental Health Service Worker
% of Days
65%
1 Nurse Practitioner
% of Days
59%
5 Physical Therapy Assistant
% of Days
68%
2 Occupational Therapy Aide
% of Days
44%
2 Medical Director
% of Days
71%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
115 residents
Residents by payment source
Medicare
15 residents (13%)
Medicaid
83 residents (72.2%)
Private pay or other
17 residents (14.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
39% worse than Florida averageFlorida average: 7.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
24% worse than Florida averageFlorida average: 12.4
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
52% worse than Florida averageFlorida average: 10.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.9%
Percent of long-stay residents whose ability to move independently worsened
10.9%
16% better than Florida averageFlorida average: 12.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
43% worse than Florida averageFlorida average: 13.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
66% worse than Florida averageFlorida average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.7%
Percent of long-stay high risk residents with pressure ulcers
10.7%
99% worse than Florida averageFlorida average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Florida averageFlorida average: 0.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.5%
Percent of long-stay residents who lose too much weight
9.5%
59% worse than Florida averageFlorida average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Florida averageFlorida average: 3.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.5%
Percent of long-stay residents who received an antipsychotic medication
18.5%
130% worse than Florida averageFlorida average: 8.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Florida averageFlorida average: 97.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.08
Number of hospitalizations per 1,000 long-stay resident days.
2.08
In line with Florida averageFlorida average: 2.10
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.94
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.94
20% better than Florida averageFlorida average: 1.18
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
In line with Florida averageFlorida average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
138% worse than Florida averageFlorida average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
In line with Florida averageFlorida average: 94.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
11% better than Florida averageFlorida average: 26.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.5%
In line with Florida averageFlorida average: 9.3%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.1%
Percentage of SNF residents who experience falls with major injury during their stay.
2.1%
174% worse than Florida averageFlorida average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
47.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.8%
11% worse than Florida averageFlorida average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
29.7%
Rate of successful return to home or community from a skilled nursing facility.
29.7%
41% worse than Florida averageFlorida average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$4K
94% lower than Florida averageFlorida average: $72K
Number of fines
1
62% fewer fines than Florida averageFlorida average: 2.6
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Florida averageFlorida average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$4K
Florida average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Tierra Pines Center based on CMS SNF Cost Reports.
Occupancy Rate
94.8%
↓ 2.0pp vs 2022
Net Income
$3.8M
↑ ~$1.4M vs 2022
Total Payroll
$7.0M
↓ ~$320.7K vs 2022
Profit Margin
29.7%
↑ 11.5pp vs 2022
Loading trend charts...
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