3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 175th out of 253 homes in Florida for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▼ 43% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▲ 8% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 6m per day | ▼ 10% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | ▼ 11% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 14% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 15m per day | ▼ 54% State avg: 32m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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.
Inspection score unavailable
Not enough inspection history to generate a score.
Average score for Florida nursing homes: B 83/100
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 26 | 33 | This facility has 21% fewer total citations than a typical Florida nursing home (26 vs. FL avg 33).↓ 21% better |
|
Citations per year
Average citations per year since 2021.
| 5.2 | 6.6 | This facility has 21% fewer citations per year than a typical Florida nursing home (5.2 vs. FL avg 6.6).↓ 21% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Florida average 4.3
Last Health inspection on Jan 2025
Florida average 19.7
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).
100% better than Florida averageFlorida average: 0.8
100% better than Florida averageFlorida average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% fewer staff per resident than Florida average
0% compared with Florida average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
All 64 CNA Staff are full-time employees. No contractors work on this role.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
680 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 19,857 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 28 | 0 | 28 | 7,926 | 92 | 100% | 9.1 |
| Registered Nurse | 13 | 0 | 13 | 3,490 | 92 | 100% | 7.7 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,853 | 91 | 99% | 8 |
| Dietitian | 18 | 0 | 18 | 1,449 | 91 | 99% | 7.6 |
| RN Director of Nursing | 1 | 1 | 2 | 831 | 84 | 91% | 6 |
| Physical Therapy Aide | 4 | 0 | 4 | 818 | 73 | 79% | 6.8 |
| Speech Language Pathologist | 4 | 0 | 4 | 777 | 71 | 77% | 7.1 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 746 | 69 | 75% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 525 | 64 | 70% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 449 | 63 | 68% | 6.9 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 425 | 54 | 59% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 384 | 54 | 59% | 6.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 345 | 64 | 70% | 5.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 299 | 40 | 43% | 7.5 |
| Medical Director | 0 | 1 | 1 | 30 | 6 | 7% | 5 |
Includes penalties issued in 2025
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)
94% lower than Florida averageFlorida average: $72K
62% fewer fines than Florida averageFlorida average: 2.6
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 30, 2025 · $4K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
52% worse than Florida averageFlorida average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
10.9%
16% better than Florida averageFlorida average: 12.9%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
66% worse than Florida averageFlorida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
10.7%
99% worse than Florida averageFlorida average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Florida averageFlorida average: 0.9%
Percent of long-stay residents who lose too much weight
9.5%
59% worse than Florida averageFlorida average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Florida averageFlorida average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
18.5%
130% worse than Florida averageFlorida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Florida averageFlorida average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.08
In line with Florida averageFlorida average: 2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.94
20% better than Florida averageFlorida average: 1.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
In line with Florida averageFlorida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
138% worse than Florida averageFlorida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
In line with Florida averageFlorida average: 94.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
11% better than Florida averageFlorida average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.5%
In line with Florida averageFlorida average: 9.3%
Percentage of SNF residents who experience falls with major injury during their stay.
2.1%
174% worse than Florida averageFlorida average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.8%
11% worse than Florida averageFlorida average: 53.7%
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.
30% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
34% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
115Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for Tierra Pines Center from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #167 / 257Payroll — State benchmarkedThis home is ranked 167th out of 257 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #40 / 257Payroll % — State benchmarkedThis home is ranked 40th out of 257 homes in Florida. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 49–56% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Recreational Activities
Exercise Programs
Health Programs
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (35% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.0 miles from city center
Estimated distance in miles from Largo's city center to Tierra Pines Center's address, calculated via Google Maps.
Add your location
The information below is reported by the Florida Agency for Health Care Administration (AHCA).
| East Bay Rehabilitation Center | NH | Clearwater | 120
Facility
120
FL AVG
89
Rank
#256 / 1074 |
89.3%
Facility
89.3%
FL AVG
84.3%
Rank
#133 / 258 | +6% | 4.21
Facility
4.21
FL AVG
4.04
Rank
#75 / 253 | -45% | +4% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 258 | - | 13
Facility
13
FL AVG
19.7
Rank
#73 / 252 | 3.3
Facility
3.3
FL AVG
4.5
Rank
#73 / 252 | - | 112 | - |
13
Facility
13
FL AVG
40
Rank
#1203 / 1486 | - | $14.4M
Facility
$14.4M
FL AVG
$15.7M
Rank
#172 / 257 | $8.1M
Facility
$8.1M
FL AVG
$6.1M
Rank
#124 / 257 | 56.5%
Facility
56.5%
FL AVG
39.8%
Rank
#32 / 257 | 105697 | ||||
| Oak Manor Senior Living Community | NH AL IL | Largo (Anona) | 150
Facility
150
FL AVG
89
Rank
#135 / 1074 |
69.6%
Facility
69.6%
FL AVG
84.3%
Rank
#226 / 258 | -17% | 3.63
Facility
3.63
FL AVG
4.04
Rank
#198 / 253 | -37% | -10% | $4.0k
Facility
$4.0k
FL AVG
$78.9k
Rank
#161 / 258 | 73
Facility
73
FL AVG
83
Rank
#692 / 876 | 13
Facility
13
FL AVG
19.7
Rank
#73 / 252 | 2.2
Facility
2.2
FL AVG
4.5
Rank
#28 / 252 | - | 131 | - |
19
Facility
19
FL AVG
40
Rank
#1109 / 1486 | Brad Graham | $14.3M
Facility
$14.3M
FL AVG
$15.7M
Rank
#152 / 257 | $6.9M
Facility
$6.9M
FL AVG
$6.1M
Rank
#136 / 257 | 48%
Facility
48%
FL AVG
39.8%
Rank
#104 / 257 | 105248 | ||||
| Gulf Shore Care Center | NH NC | Pinellas Park | 120
Facility
120
FL AVG
89
Rank
#256 / 1074 |
94.2%
Facility
94.2%
FL AVG
84.3%
Rank
#39 / 258 | +12% | 3.23
Facility
3.23
FL AVG
4.04
Rank
#250 / 253 | -47% | -20% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 258 | - | 15
Facility
15
FL AVG
19.7
Rank
#93 / 252 | 5.0
Facility
5.0
FL AVG
4.5
Rank
#164 / 252 | - | 113 | - |
52
Facility
52
FL AVG
40
Rank
#484 / 1486 | Gulf Shore Nursing Holdco LLC | $6.9M
Facility
$6.9M
FL AVG
$15.7M
Rank
#209 / 257 | $3.1M
Facility
$3.1M
FL AVG
$6.1M
Rank
#240 / 257 | 44.7%
Facility
44.7%
FL AVG
39.8%
Rank
#245 / 257 | 105978 | ||||
| Tierra Pines Center | NH PC RC | Largo (Monterey Lakes Apartments) | 120
Facility
120
FL AVG
89
Rank
#256 / 1074 |
94.8%
Facility
94.8%
FL AVG
84.3%
Rank
#31 / 258 | +12% | 3.72
Facility
3.72
FL AVG
4.04
Rank
#175 / 253 | -32% | -8% | $4.1k
Facility
$4.1k
FL AVG
$78.9k
Rank
#162 / 258 | - | 20
Facility
20
FL AVG
19.7
Rank
#142 / 252 | 4.0
Facility
4.0
FL AVG
4.5
Rank
#112 / 252 | - | 113 | A+ |
63
Facility
63
FL AVG
40
Rank
#309 / 1486 | Theresa Felicione | $12.9M
Facility
$12.9M
FL AVG
$15.7M
Rank
#195 / 257 | $6.5M
Facility
$6.5M
FL AVG
$6.1M
Rank
#167 / 257 | 50.2%
Facility
50.2%
FL AVG
39.8%
Rank
#40 / 257 | 105398 | ||||
| Gateway Post-Acute Care Center | NH NC | Pinellas Park | 120
Facility
120
FL AVG
89
Rank
#256 / 1074 |
92.7%
Facility
92.7%
FL AVG
84.3%
Rank
#71 / 258 | +10% | - | -21% | - | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 258 | - | 28
Facility
28
FL AVG
19.7
Rank
#198 / 252 | 4.7
Facility
4.7
FL AVG
4.5
Rank
#150 / 252 | - | 105 | A+ |
47
Facility
47
FL AVG
40
Rank
#570 / 1486 | Ivana Kirby | $12.4M
Facility
$12.4M
FL AVG
$15.7M
Rank
#135 / 257 | $6.8M
Facility
$6.8M
FL AVG
$6.1M
Rank
#156 / 257 | 54.7%
Facility
54.7%
FL AVG
39.8%
Rank
#160 / 257 | 105486 |
Tierra Pines Center is located in Largo, Florida.
Here are the financial assistance programs available to residents in Florida.
Tierra Pines Center is in the Monterey Lakes Apartments neighborhood of Largo.
Tierra Pines Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Tierra Pines Center's occupancy is 94.8%.
Yes — there are 14 photos of Tierra Pines Center in the photo gallery on this page.
Tierra Pines Center is located at 7380 Ulmerton Rd, Largo, FL 33771.
(727) 535-9833 will put you in contact with the team at Tierra Pines Center.
Yes — Tierra Pines Center is a CMS-certified provider of Medicare and Medicaid.
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