Tierra Pines Center in Largo has a 2-out-of-5 overall rating, with especially weak staffing at 1 star and reported nurse staffing below the federal benchmark (3.31 vs. 4.1 hours per resident per day). It also has a recent federal penalty and $4,147 in fines over the last 24 months, while its health inspection rating is 3 stars and quality measures are 2 stars.
Last inspection: January 30, 2025Penalties, last 24 months: $4,147recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.305.
Staffing detail
Registered nurses
0.36
Licensed practical nurses
0.88
Nurse aides
2.06
Weekend nursing
3.09
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 79%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.3%24.1%Worsening
Residents with a fall causing major injury
5.2%6.2%Worsening
Residents with pressure ulcers (bedsores)
4.3%3.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.4%16.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%6.2%Improving
Residents whose ability to walk got worse
16.2%2.2%Improving
Long-stay residents on antianxiety or sleep medication
26.7%28.4%Worsening
Short-stay residents newly given an antipsychotic
2.6%2.5%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14%10%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.8%—
Short-stay residents given the pneumonia vaccine
98.5%99.3%Improving
What the inspectors found
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to keep essential equipment working safely. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited December 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 847 — 42 CFR §483.70 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $4,147 was recorded.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,147 in total fines.
Federal fine
Jan 30, 2025
$4,147
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of ASTON HEALTH · 38 homes · 2.6 stars avg
Occupancy
113.6 residents on an average day (95% of 120 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.