Cycle 1
Health 2024-09-19 · Fire 2024-09-19
8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Tarpon Springs, FL
Peninsula Health Center By Harborview
1-star overall rating with 1-star inspections with $169,096 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
900 Beckett Way, Tarpon Springs, FL
(727) 934-0876
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Benjamin Landa
Operator or chain grouping
Approved since
1984-01-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
54 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
Changed ownership
No
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
0.56
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.51
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
3.78
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,463
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9928
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.32
Baseline 18.94% · Performance 18.04% · Measure score 7.32 · Achievement 7.32 · Improvement 4.21
Healthcare-associated infections
5.28
Baseline 9.37% · Performance 6.84% · Measure score 5.28 · Achievement 3.32 · Improvement 5.28
Total nurse turnover
1.67
Baseline 59.35% · Performance 56.84% · Measure score 1.67 · Achievement 1.67 · Improvement 0.23
Adjusted total nurse staffing
1.68
Baseline 4.18 hours · Performance 3.56 hours · Measure score 1.68 · Achievement 1.68 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.53% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 17.11% · Lower 95% interval 8.04% |
| Discharge to community | 32.91% |
50.57%
17.7 pts worse
|
Worse than the National Rate · Eligible stays 52 · Observed rate 19.23% · Lower 95% interval 21.91% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.09% |
95.27%
1.8 pts better
|
Numerator 100 · Denominator 103 |
| Falls with major injury | 1.94% |
0.77%
1.2 pts worse
|
Numerator 2 · Denominator 103 |
| Discharge self-care score | 34.38% |
53.69%
19.3 pts worse
|
Numerator 22 · Denominator 64 |
| Discharge mobility score | 28.13% |
50.94%
22.8 pts worse
|
Numerator 18 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 3.88% |
2.29%
1.6 pts worse
|
Numerator 4 · Denominator 103 · Adjusted rate 3.4% |
| Healthcare-associated infections requiring hospitalization | 6.84% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 3.35% |
| Staff COVID-19 vaccination coverage | 0.6% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 166 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 39.06% |
56.45%
17.4 pts worse
|
Numerator 25 · Denominator 64 |
| Transfer of health information to provider | 90.91% |
95.95%
5 pts worse
|
Numerator 30 · Denominator 33 |
| Transfer of health information to patient | 97.06% |
96.28%
0.8 pts better
|
Numerator 33 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 4.92% |
25.2%
20.3 pts worse
|
Numerator 3 · Denominator 61 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.1
0.5 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.3 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.2
0.3 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 2.7% |
2.6%
0.1 pts worse
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.1% · Q3 2.1% · Q4 4.5% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
3.7%
3.4 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 1.9% |
5.9%
4 pts better
|
5.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 1.2% · Q4 1.3% · 4Q avg 1.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.2% |
15.7%
5.5 pts worse
|
19.6%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 21.4% · Q3 21.7% · Q4 27.3% · 4Q avg 21.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.7% |
9.8%
5.1 pts better
|
16.7%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 7.6% · Q3 4.5% · Q4 3.8% · 4Q avg 4.7% · 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 | 10.0% |
11.7%
1.7 pts better
|
16.3%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 10.0% · Q3 3.5% · Q4 8.0% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.5% |
9.8%
0.7 pts worse
|
14.9%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 7.8% · Q3 5.1% · Q4 4.1% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.0% |
12.5%
1.5 pts better
|
19.8%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 14.2% · Q3 7.3% · Q4 3.8% · 4Q avg 11.0% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
5.1%
0.5 pts worse
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.8% · Q3 5.9% · Q4 4.1% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
94.3%
4.4 pts worse
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 91.5% · Q3 91.2% · Q4 82.7% · 4Q avg 89.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
9.3%
3.1 pts worse
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 15.7% · Expected 14.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.5%
0.9 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.1% · Q3 2.4% · Q4 2.4% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.9% |
94.7%
8.8 pts worse
|
79.7%
6.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
26.2%
3.5 pts better
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 27.1% · Expected 28.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-08 · Fire 2022-07-08
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2021-03-12 · Fire 2021-03-12
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2024-09-19
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-19
D · Potential for more than minimal harm
2022-07-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-07-08
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-30
D · Potential for more than minimal harm
2021-03-12
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-04-04
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-09-19
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-09-19
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-09-19
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 2024-10-19
D · Potential for more than minimal harm
2024-09-19
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-09-19
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 2024-10-19
D · Potential for more than minimal harm
2024-09-19
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-09-19
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 2024-10-19
D · Potential for more than minimal harm
2024-09-19
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-09-19
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-10-19
J · Immediate jeopardy
2023-05-05
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 2023-05-29
J · Immediate jeopardy
2023-05-05
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-29
J · Immediate jeopardy
2023-05-05
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-05-29
J · Immediate jeopardy
2023-05-05
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 2023-05-29
D · Potential for more than minimal harm
2023-05-05
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-29
D · Potential for more than minimal harm
2022-07-08
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-08-01
D · Potential for more than minimal harm
2022-07-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-01
D · Potential for more than minimal harm
2022-07-08
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-08-01
D · Potential for more than minimal harm
2022-07-08
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-08-01
D · Potential for more than minimal harm
2021-03-12
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 2021-04-07
Penalties and ownership
What sits behind the stars
$4,587
2023-10-02
Fine
Fine · fine $4,587
Fine
$11,645
2023-09-11
Fine
Fine · fine $11,645
Fine
$3,176
2023-08-28
Fine
Fine · fine $3,176
Fine
$2,823
2023-08-21
Fine
Fine · fine $2,823
Fine
$2,470
2023-08-14
Fine
Fine · fine $2,470
Fine
$2,117
2023-08-07
Fine
Fine · fine $2,117
Fine
$4,233
2023-07-17
Fine
Fine · fine $4,233
Fine
$138,045
2023-05-05
Fine
Fine · fine $138,045
Fine
Ownership
Nearby options
Other facilities in reach
#1
Tarpon Bayou Center
Tarpon Springs, FL
1-star overall rating with 1-star inspections with $10,170 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Trinity Regional Rehab Center
Trinity, FL
2-star overall rating with 2-star inspections with 9 recent health deficiencies
#3
Aspire At Ridge Haven
New Port Richey, FL
3-star overall rating with 3-star inspections with $7,558 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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