Palm Harbor, FL

Aviata At The Palms

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $433,464 in total fines with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

2600 Highlands Blvd N, Palm Harbor, FL

(727) 785-5671

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

112

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

1981-09-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.30

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.26

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.08

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

3.64

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,713

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.39

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.01

Baseline 62.67% · Performance 55.45% · Measure score 2.01 · Achievement 2.01 · Improvement 1.41

Adjusted total nurse staffing

1.86

Baseline 3.70 hours · Performance 3.61 hours · Measure score 1.86 · Achievement 1.86 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.83%	10.72% 2.1 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 28.21% · Lower 95% interval 8.33%
Discharge to community	27.8%	50.57% 22.8 pts worse	Worse than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 14.95%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	98.51%	95.27% 3.2 pts better	Numerator 66 · Denominator 67
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 67
Discharge self-care score	38.78%	53.69% 14.9 pts worse	Numerator 19 · Denominator 49
Discharge mobility score	28.57%	50.94% 22.4 pts worse	Numerator 14 · Denominator 49
Pressure ulcers or injuries, new or worsened	1.49%	2.29% 0.8 pts better	Numerator 1 · Denominator 67 · Adjusted rate 1.2%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 118
Staff flu vaccination coverage	33.71%	42% 8.3 pts worse	Numerator 30 · Denominator 89
Discharge function score	40.82%	56.45% 15.6 pts worse	Numerator 20 · Denominator 49
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	24.49%	25.2% 0.7 pts worse	Numerator 12 · Denominator 49

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.4 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.2 About the same	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	97.8% 0.8 pts worse	93.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 99.0% · Q3 98.1% · Q4 92.2% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	99.2% 0.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.3%	2.6% 1.3 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.9% · Q4 1.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.7%	3.7% 2 pts better	11.4% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.3% · Q3 1.0% · Q4 2.3% · 4Q avg 1.7%
Percentage of long-stay residents who lose too much weight	6.9%	5.9% 1 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 7.3% · Q3 7.0% · Q4 4.0% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.8%	15.7% 2.9 pts better	19.6% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 14.6% · Q3 11.8% · Q4 9.0% · 4Q avg 12.8%
Percentage of long-stay residents who received an antipsychotic medication	4.3%	9.8% 5.5 pts better	16.7% 12.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 3.4% · Q3 2.8% · Q4 2.9% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.7%	11.7% 1 pts worse	16.3% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 13.5% · Q3 6.7% · Q4 22.9% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.7%	9.8% 1.1 pts better	14.9% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 9.3% · Q3 5.5% · Q4 7.8% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.4% 0.5 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 0.8% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.4%	12.5% 1.1 pts better	19.8% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 8.6% · Q3 12.8% · Q4 2.6% · 4Q avg 11.4%
Percentage of long-stay residents with pressure ulcers	6.3%	5.1% 1.2 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.1% · Q3 6.3% · Q4 6.2% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.4%	94.3% 0.1 pts better	81.7% 12.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 97.2% · Q3 90.3% · Q4 92.9% · 4Q avg 94.4%
Percentage of short-stay residents who had an outpatient emergency department visit	10.8%	9.3% 1.5 pts worse	12.0% 1.2 pts better	Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 12.5% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.5% 1.9 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 7.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.4%	94.7% 0.3 pts worse	79.7% 14.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.7%	26.2% 3.5 pts worse	23.9% 5.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 32.5% · Expected 26.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-09 · Fire 2024-08-09

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-04-22 · Fire 2022-04-22

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2021-02-18 · Fire 2021-02-18

15 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-09

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-09-09

F · Potential for more than minimal harm 2024-08-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-09

F · Potential for more than minimal harm 2024-08-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-09-09

D · Potential for more than minimal harm 2022-04-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-05-19

D · Potential for more than minimal harm 2021-02-18

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-03-18

Inspection history

Recent health citations

J · Immediate jeopardy 2025-11-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-12-19

J · Immediate jeopardy 2025-11-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-19

J · Immediate jeopardy 2025-11-20

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-12-19

J · Immediate jeopardy 2025-11-20

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-12-19

E · Potential for more than minimal harm 2024-08-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-09

E · Potential for more than minimal harm 2024-08-09

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-09

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-09-09

J · Immediate jeopardy 2023-03-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-04-25

J · Immediate jeopardy 2023-03-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-04-25

J · Immediate jeopardy 2023-03-23

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-04-25

J · Immediate jeopardy 2023-03-23

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-04-25

E · Potential for more than minimal harm 2023-03-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-04-17

D · Potential for more than minimal harm 2023-03-23

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-17

D · Potential for more than minimal harm 2023-03-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-04-17

E · Potential for more than minimal harm 2022-04-22

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-05-19

E · Potential for more than minimal harm 2022-04-22

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-05-19

E · Potential for more than minimal harm 2022-04-22

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-22

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-07-19

D · Potential for more than minimal harm 2022-04-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-07-19

D · Potential for more than minimal harm 2022-04-22

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-07-19

D · Potential for more than minimal harm 2021-02-18

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18

F840 · Administration Deficiencies

Health

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Corrected 2021-03-18

D · Potential for more than minimal harm 2021-02-18